PHILUSA CHUA MCBROOM

KINGSLAND, GA
NPI1265869184
Former NamePHILUSA CHUA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT005932)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: FL  15996)
Enumeration Date2013-10-09
Last Update Date2014-06-17
Business Address
-- PHILUSA CHUA MCBROOM OTDR/L
100B LINDSEY LANE
KINGSLAND, GA 31548
Phone number: 912-510-6104
Mailing Address
-- PHILUSA CHUA MCBROOM OTDR/L
100B LINDSEY LANE
KINGSLAND, GA 31548
Phone number: 912-510-6104