Individual
EUSEBIA NIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD NE, BLDG 400 STE 125, SANDY SPRINGS, GA 30328-6773
(678) 587-9922
Mailing address
1294 REILLY LN, CLARKSTON, GA 30021-2878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001227
GA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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