Individual
KAREN L AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 ENOTA AVE NE, GAINESVILLE, GA 30501-1802
(912) 293-5869
Mailing address
573 WESTMORELAND RD, CLEVELAND, GA 30528-5941
(470) 707-9865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0001599
GA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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