Individual
JYOTI MADHAV BHALERAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1821 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-4585
Mailing address
135 RIVERSONG DR, ALPHARETTA, GA 30022-5328
(770) 998-8036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000286
GA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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