-- SUSAN CAROL WISE COTA/L ⚕️ Georgia 1275875163

NPI	1275875163
Entity Type	Individual
Gender	Female
Sole Proprietor ?	Yes
Primary Taxonomy	224Z00000X Occupational Therapy Assistant (Licence: GA OTA 000112)
Enumeration Date	2013-03-19
Last Update Date	2013-03-19

-- SUSAN CAROL WISE COTA/L

1120 15TH ST # 2902

AUGUSTA, GA 30912-0004

Phone number: 706-721-5223

-- SUSAN CAROL WISE COTA/L

1446 HARPER ST

AUGUSTA, GA 30912-0012

Phone number: 706-721-5223