Provider Demographics
NPI:1871766782
Name:WELCH, DINAH (OT/L)
Entity type:Individual
Prefix:
First Name:DINAH
Middle Name:
Last Name:WELCH
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4335 PARK BROOKE TRACE
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-3415
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:470 S. HILL ST.
Practice Address - Street 2:HELPING HANDS PEDIATRIC THERAPY
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3220
Practice Address - Country:US
Practice Address - Phone:678-482-6100
Practice Address - Fax:770-932-5684
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT000378225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000970164BMedicaid