Individual
ELISABETH NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1335 CHURCH ST UNIT B1, DECATUR, GA 30030
(706) 896-6994
Mailing address
1335 CHURCH ST UNIT B1, DECATUR, GA 30030-1593
(706) 896-6994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004766
GA
Other
Enumeration date
11/18/2008
Last updated
07/21/2022
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