Individual
RITA LOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5512
Mailing address
5408 TILLY MILL RD, DUNWOODY, GA 30338-4428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001456
GA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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