Luisa Fernanda Abrahams

Individual provider Active NPI Pediatric Occupational Therapist · Buford, GA

NPI 1679360507 · NPPES record last updated Apr 23, 2025

Key facts

NPI
1679360507
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT009496 (GA)
Practice address
22 Buford Village Way Ste 229
Buford, GA 30518-8846
Phone
(045) 831-2254
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT009496GAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Play2Learn Therapy Center LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT009496 GA Yes

Addresses

Primary practice location

22 Buford Village Way Ste 229
Buford, GA 30518-8846

Mailing address

22 Buford Village Way Ste 229
Buford, GA 30518-8846
Phone (045) 831-2254

Other providers in Buford, GA

All providers in Buford, GA · Pediatric Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.