Individual
OLIVIA TISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1509 ATKINSON RD STE 2200, LAWRENCEVILLE, GA 30043-7986
(678) 858-4777
(678) 985-3953
Mailing address
65 DARCEE CT, LAWRENCEVILLE, GA 30046-7402
(678) 858-4777
(678) 985-3953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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