NPI age
19 years
Enumerated 2007-02-12
Across 3276 active occupational therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 634151927B | |
| 01 (GA) | 061724926 | TAX ID |
| 05 (GA) | 634151927D |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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