Individual
NICHOLE PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5512
Mailing address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004137
GA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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