Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DISHNER OTR/L (OCCUPATIONAL THERAPIST)
(770) 354-0883
Entity
Organization
Contact information
Practice address
2631 N DRUID HILLS RD NE, ATLANTA, GA 30329-3529
(404) 325-7994
(866) 902-7889
Mailing address
2648 E MADISON DR, ATLANTA, GA 30360-2027
(770) 354-0883
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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