Individual
HEATHER SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 212-2170
(770) 783-8639
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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