Individual
PARTHA BHANJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8770 GLASGOW POINTE, DULUTH, GA 30097-6606
(440) 497-8498
Mailing address
8770 GLASGOW POINTE, DULUTH, GA 30097-6606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005960
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT005960
STATE LICENSE
GA
Enumeration date
10/17/2014
Last updated
06/07/2021
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