Individual
MRS. GINA MISITANO THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1205 JOHNSON FERRY RD, STE 130, MARIETTA, GA 30068-5418
(770) 565-3201
(770) 565-3203
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003903
GA
225X00000X
Occupational Therapist
OT12415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0039036
OCCUPATIONAL THERAPIST
GA
Enumeration date
10/24/2006
Last updated
07/07/2015
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