Individual
TYLER JANAE DILLIGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4875 HOG MOUNTAIN RD STE A, FLOWERY BRANCH, GA 30542-6450
(678) 828-8584
Mailing address
205 NASH ST, LAWRENCEVILLE, GA 30046
(609) 784-9260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008788
GA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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