Individual
LAURA LEE WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1131 LIPSCOMB RD, SOCIAL CIRCLE, GA 30025-3601
(970) 691-3904
Mailing address
1131 LIPSCOMB RD, SOCIAL CIRCLE, GA 30025-3601
(970) 691-3904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT0002221
CO
225X00000X
Occupational Therapist
Primary
OT006006
GA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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