NPI age
19 years
Enumerated 2007-05-02
Across 3276 active occupational therapist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | C2647 | BCBS PROVIDER NUMBER |
| 01 (FL) | MA41078 | MASSAGE LICENSE NUMBER |
| 05 (GA) | 003342900A |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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