Individual
MRS. REBECCA MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2015 VAUGHN RD NW, SUITE 130, KENNESAW, GA 30144-7801
(770) 425-6661
(770) 425-1189
Mailing address
2015 VAUGHN RD NW, SUITE 130, KENNESAW, GA 30144-7801
(770) 425-6661
(770) 425-1189
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002491
GA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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