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Palmer Lee Wren Jr., OTR/L

Occupational Therapist in Tucker, GA. Individual provider (NPI-1).

NPI number1396123782
StatusActive
Last updated in NPPESMay 18, 2015

Details

NPI
1396123782
Entity type
Individual (NPI-1)
Name
Mr. Palmer Lee Wren Jr.
Credential
OTR/L
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2015
Last updated
May 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT001745GAYes

Practice location

1455 Montreal Rd
Tucker, GA 30084-8100

Phone 404-783-0262

Mailing address

1455 Montreal Rd
Tucker, GA 30084-8100

Phone 404-783-0262

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