Individual
JOSHUA REISSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
201 EVERGREEN TER, STOCKBRIDGE, GA 30281-7375
(678) 870-4787
Mailing address
2039 BARBERRIE LN, DECATUR, GA 30032-3915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3762
GEORGIA STATE BOARD OF OCCUPATIONAL THERAPY
GA
Enumeration date
04/03/2017
Last updated
04/03/2017
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