Provider Demographics
NPI:1265961445
Name:GARNER, MARY BABIONE (OT, MSOT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:BABIONE
Last Name:GARNER
Suffix:
Gender:F
Credentials:OT, MSOT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ELIZABETH
Other - Last Name:BABIONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT, MSOT
Mailing Address - Street 1:2061 PEACHTREE RD NE STE 450
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1445
Mailing Address - Country:US
Mailing Address - Phone:404-355-0069
Mailing Address - Fax:423-362-8684
Practice Address - Street 1:2061 PEACHTREE RD NE STE 450
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1445
Practice Address - Country:US
Practice Address - Phone:404-355-0069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT006656225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist