Individual
MRS. VICTORIA SARAH COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
3515 ANSLEY PARK DR, SUWANEE, GA 30024-7093
(770) 831-6773
Mailing address
3515 ANSLEY PARK DR, SUWANEE, GA 30024-7093
(770) 831-6773
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 003562
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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