NPI 1033936976
Mirage Mariah Sanders, OTDOTRL
Practice location
- Address
- 3160 Main St STE 103, Duluth, GA 30096-3461
- Phone
- (678) 404-7744
- Mailing address
- 3005 Lakeside Cir, Covington, GA 30016-8852
Registered specialties
Pediatric Occupational Therapist
Primary
Registry record
- NPI
- 1033936976
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Sep 2024
- Record last updated
- 1 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.