Individual
MRS. MARIA SOCORRO REALES ANDRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2129 RIVERSIDE DR, STE B, MACON, GA 31204-6900
(478) 741-9672
Mailing address
2129 RIVERSIDE DR, STE B, MACON, GA 31204-6900
(478) 741-9672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001371
GA
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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