Individual
LEAH MARION CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 PEACHTREE HILLS AVE NE, ATLANTA, GA 30305-4411
(678) 619-5600
Mailing address
498 CONNALLY ST SE, ATLANTA, GA 30312-3024
(434) 228-5239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007727
GA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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