Whalio Doctors

NPI 1033936976

Mirage Mariah Sanders, OTDOTRL

Practitioner Pediatric Occupational Therapist Duluth, GA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence OT009323 (GA)

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.