Individual
SARON DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 EDEN AVE, BOGART, GA 30622-3365
(770) 634-5594
Mailing address
1450 EDEN AVE, BOGART, GA 30622-3365
(770) 634-5594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007058
GA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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