Alicia F Lewallen, OT

NPI #1821190190 in Demorest, Georgia

Provider Information

NPI Number: 1821190190
Entity Type: Individual
Name: Alicia F Lewallen, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Sep 5, 2006
Last Updated: Feb 12, 2014

Practice Location

Address: 590 HISTORIC HIGHWAY 441
Address 2: SUITE E
City: Demorest
State: Georgia
ZIP Code: 30535-4561
Phone: (706) 754-6611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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