Individual
DIONNE BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2385 LAWRENCEVILLE HWY STE B, DECATUR, GA 30033
(404) 289-4270
Mailing address
2949 STONECREST PT, CONYERS, GA 30094-4955
(404) 932-3440
(770) 483-3955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001419
GA
Other
Enumeration date
11/21/2006
Last updated
02/21/2019
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