Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | OT007987 | GA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT007987 | GA |
NPI | 1255925053 |
---|---|
Provider Name | Janet Babu |
First Address | Atlanta, GA 30360-2146 |
Second Address | Decatur, GA 30034-4106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2021 |
Last Update Date | 23/02/2021 |