Individual
MIA ELSABIE VAN SCHALKWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
739 W PEACHTREE ST NE, ATLANTA, GA 30308-1137
(404) 875-9011
Mailing address
3071 RANDOLPH RD NE, ATLANTA, GA 30345-3612
(734) 756-0868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007966
GA
Other
Enumeration date
02/26/2021
Last updated
02/16/2024
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