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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALICIA F LEWALLEN, OT

Active

ALICIA F LEWALLEN, OT is a Occupational Therapist healthcare provider located in DEMOREST, Georgia. NPI 1821190190 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · DEMOREST, GA

Registration Details

NPI Number
1821190190
Provider Type
Individual
Gender
Female
NPI Issued
Sep 5, 2006 (19.921150415289 yrs)
Last Updated
Feb 12, 2014
License
OT1729 (GA)

Practice Information

Address
590 HISTORIC HIGHWAY 441
SUITE E
DEMOREST, GA, 305354561
Browse GA providers · Browse ZIP 30535
Phone
7067546611
Fax
7067545834
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in DEMOREST, GA

Name Credential NPI
AMBER VANDIVER 1033496252
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.