Individual
VANESSA GABRIELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 ARMOUR DR NE, 1207, ATLANTA, GA 30324-3933
(404) 444-5353
Mailing address
415 ARMOUR DRIVE, 1207, ATLANTA, GA 30324
(404) 444-5353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004408
GA
Other
Enumeration date
04/03/2007
Last updated
08/24/2009
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