Phu Tho Srikanchana
Phu Tho Srikanchana is an Occupational Therapist in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
1894 Ludovie LnDecatur, GA 30033-1044
Phone: (678) 626-0557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT008486 (GA) |
|---|
Record details
| NPI number | 1427741925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2023 |
| Last updated in NPPES | May 31, 2023 |
| Certification date | May 31, 2023 |
| Mailing address | 2504 Old Norcross Rd, Tucker, GA 30084-3119 |
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