Provider Demographics
NPI:1629950290
Name:NATANIEL, ISABEL (OTD)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:NATANIEL
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:664 LINWOOD AVE NE APT 4
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-4460
Mailing Address - Country:US
Mailing Address - Phone:478-733-5736
Mailing Address - Fax:
Practice Address - Street 1:664 LINWOOD AVE NE APT 4
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-4460
Practice Address - Country:US
Practice Address - Phone:478-733-5736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist