Individual
ALLYA ALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2295 HENRY CLOWER BLVD, SUITE 100, SNELLVILLE, GA 30078-5707
(770) 995-9600
(678) 922-7124
Mailing address
1112 ESTUARY TRL, ALPHARETTA, GA 30005-3071
(404) 825-5656
(678) 922-7124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001897
GA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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