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Individual

ALISIA D. AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 ARNOLD MILL RD, WOODSTOCK, GA 30188-5027
(770) 926-0016
Mailing address
6890 WINDING WADE TRL, AUSTELL, GA 30168-6352

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007477
GA

Other

Enumeration date
03/10/2020
Last updated
03/10/2020
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