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1285321075
TAMMY W CLARK
HIAWASSEE, GA
NPI
1285321075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001622)
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
TAMMY W CLARK COTA
386 BELAIRE DR
HIAWASSEE, GA 30546-3313
Phone number: 706-896-2231
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Mailing Address
TAMMY W CLARK COTA
199 WHITTEMORE ST
RINGGOLD, GA 30736-2518
Phone number: 404-698-8228
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