Individual
LORI ANN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5593 FORKWOOD DRIVE NW, ACWORTH, GA 30101
(678) 923-4295
(770) 919-1752
Mailing address
5593 FORKWOOD DRIVE NW, ACWORTH, GA 30101
(678) 923-4295
(770) 919-1752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
055409160
GA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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