Individual
NADIA FOFANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
747 OVERLOOK GLEN DR, LAWRENCEVILLE, GA 30045-3306
(470) 736-2828
Mailing address
747 OVERLOOK GLEN DR, LAWRENCEVILLE, GA 30045-3306
(470) 736-2828
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005070
GA
Other
Enumeration date
01/05/2012
Last updated
09/03/2024
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