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Individual

AMELIA PERSAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, IBCLC

Contact information

Practice address
400 EMBASSY ROW STE 150, SANDY SPRINGS, GA 30328-5750
(470) 437-4337
(470) 437-4334
Mailing address
400 EMBASSY ROW STE 150, SANDY SPRINGS, GA 30328-5750
(470) 437-4337
(470) 437-4334

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309905
GA
225X00000X
Occupational Therapist
017093-1
NY
225X00000X
Occupational Therapist
OT006749
GA

Other

Enumeration date
12/06/2011
Last updated
04/18/2024
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