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Individual

VERDAIERA VERSOHN ETIENNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
2401 CUMBERLAND PKWY SE, ATLANTA, GA 30339-1808
(770) 435-4477
(770) 435-8413
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004670
GA

Other

Enumeration date
12/28/2011
Last updated
12/28/2011
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