Individual
RENEE O ILORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
255 VAUGHN DR, ALPHARETTA, GA 30009-2415
(470) 485-0411
Mailing address
3000 HIGHWAY 5 APT 1102, DOUGLASVILLE, GA 30135-6907
(908) 246-3784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007472
GA
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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