NPI 1134221823

Lisa Deziel, OT

Practitioner Specialist Alpharetta, GA

Practice location

Address: 605 Southfield Pl, Alpharetta, GA 30004-4255
Phone: (404) 429-8291

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OT003055 (GA)

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Registry record

NPI: 1134221823
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2006
Record last updated: 18 Mar 2010

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.