Affleck, Louisa L

Affleck, Louisa L is an individual health care provider with primary practice located at 59 Executive Drive South Suite1100, Atlanta GA 30329-2208. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Affleck, Louisa L can be contacted via phone (404) 778-6330.

Contact Information

Primary practice address
59 Executive Drive South Suite1100 Atlanta GA 30329-2208
Phone: (404) 778-6330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-GA130 Georgia

Profile Details

NPI number 1093881690
LBN Legal business name Affleck, Louisa L
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Dec 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093881690 NPPES
Georgia Other OT-GA130 STATE LISC NUMBER

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