Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwendolyn Lizarazo

Individual provider Pediatric Occupational Therapist · NPI 1720912702

Gwendolyn Lizarazo is a Pediatric Occupational Therapist in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2026.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

1515 Johnson Ferry Rd Ste 100
Marietta, GA 30062-6492
Phone: (770) 977-9457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT009846 (GA)

Record details

NPI number1720912702
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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