Individual
VICTORIA CHRISTINE LOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
Mailing address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007405
GA
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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