Individual
SUSAN BVIRAKARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ARCHWAY CT SE, ROME, GA 30161-2183
(706) 853-9338
Mailing address
2 ARCHWAY CT SE, ROME, GA 30161-2183
(706) 853-9338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 002330
GA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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