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Contact Information

SHARDAE PORTEE
966A KILLIAN HILL RD SW
LILBURN, GA30047-3102
 Phone: 770-923-4815
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHARDAE PORTEE · (Female)

NPI Number 1386185460
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2017
Last updated 11/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # OT006777
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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