Individual
MRS. DONNA LEIGH MACIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
1515 JOHNSON FERRY RD, MARIETTA, GA 30062-6492
(770) 977-9457
Mailing address
1515 JOHNSON FERRY RD, MARIETTA, GA 30062-6492
(770) 977-9457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002673
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58-1940036
—
GA
Enumeration date
09/20/2022
Last updated
09/20/2022
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