Individual
NICOLE KATHLEEN LOBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3046 HUDSON WOODS CT, DECATUR, GA 30033-1609
(404) 805-7825
(678) 376-9182
Mailing address
3046 HUDSON WOODS CT, DECATUR, GA 30033-1609
(404) 805-7825
(678) 376-9182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4708
GA
225XN1300X
Neurorehabilitation Occupational Therapist
4708
GA
225XP0019X
Physical Rehabilitation Occupational Therapist
4708
GA
Other
Enumeration date
10/08/2012
Last updated
05/27/2014
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