Unknown Individual – Pediatric Occupational Therapist, NPI 1952496945
Pediatric Occupational Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4851, Lula Street Northwest, Lilburn, Gwinnett County, Georgia, 30047, United States
LILBURN, GA 300473850
Phone: (678) 697-6049
Type: Location
1885 Meadowchase Ct
Snellville, GA 300786669
Phone: (770) 601-5004
Fax: (770) 985-1198
Type: Location
1885, Meadowchase Court, Walkers Park, Snellville, Gwinnett County, Georgia, 30078, United States
SNELLVILLE, GA 300786669
Phone: (770) 601-5004
Fax: (770) 985-1198
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30047)
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