Individual
FARESA N PETTI DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
ALL ABOUT KIDS THERAPY SERVICE, 545 OLD NORCROSS ROAD, LAWRENCEVILLE, GA 30092
(678) 377-2882
Mailing address
259 MISTY GROVE DR, LOGANVILLE, GA 30052-6623
(917) 470-5574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002516
GA
Other
Enumeration date
09/24/2009
Last updated
06/12/2023
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