Individual
RACHEL NAHYUN BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7 DUNWOODY PARK STE 104, ATLANTA, GA 30338-6711
(404) 991-6807
Mailing address
325 OAK ALLEY CT, JOHNS CREEK, GA 30022-8032
(678) 576-7563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007982
STATE LICENSE
GA
Enumeration date
02/15/2021
Last updated
02/15/2021
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