Individual
VICTOR PIEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1000 APPLEWOOD DR, ROSWELL, GA 30076-1395
(770) 594-4600
Mailing address
5443 BUTTON GWINNETT PL, NORCROSS, GA 30093-3909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008969
GA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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