Organization
MILESTONE MARKER THERAPY CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA FOFANA (OWNER)
(470) 736-2828
Entity
Organization
Contact information
Practice address
747 OVERLOOK GLEN DR, LAWRENCEVILLE, GA 30045-3306
(404) 736-2828
Mailing address
871 SUNSET PARK DR, SUWANEE, GA 30024-5530
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
05/29/2025
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