Individual
MS. TINA PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 783-8639
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 783-8639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000497
GA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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