Individual
JULIET EZIAFA OLELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8618
Mailing address
4630 BRIDLE POINT PKWY, SNELLVILLE, GA 30039-2776
(678) 891-9168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007238
GA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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