Individual
ANNELIESE C ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4355 GEORGETOWN SQ, DUNWOODY, GA 30338-6266
(770) 644-0862
Mailing address
362 N VICTORIA RD, WOODSTOCK, GA 30189-1492
(404) 964-5119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001679
GA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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