Individual provider · NPI-1

Dustin Abram, OTR/L, CDRS, CAPS

Occupational Therapist, Driving and Community Mobility · Buford, GA

NPI number1306428743
StatusActive
Last updated in NPPESNov 15, 2022

Details

NPI
1306428743
Entity type
Individual (NPI-1)
Name
Dustin Abram
Credential
OTR/L, CDRS, CAPS
Sex
Male
Sole proprietor
No
Enumeration date
Apr 26, 2021
Certification date
Nov 15, 2022
Last updated
Nov 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XR0403X Occupational Therapist, Driving and Community Mobility––Yes
225XE0001X Occupational Therapist, Environmental Modification––

Practice location

3521 Ivy Crest Way
Buford, GA 30519-4475

Phone 470-326-9266

Mailing address

3521 Ivy Crest Way
Buford, GA 30519-4475

Phone 401-216-9564

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