NPI 1396123782

Palmer Lee Wren, OTRL

Practitioner Occupational Therapist Tucker, GA

Practice location

Address: 1455 Montreal Rd, Tucker, GA 30084-8100
Phone: (404) 783-0262

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT001745 (GA)

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Registry record

NPI: 1396123782
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2015
Record last updated: 18 May 2015

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.