REGINA MICHELLE DURHAM

FORT OGLETHORPE, GA
NPI1326143918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA000856)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mrs. REGINA MICHELLE DURHAM cota/l
1067 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742-3947
Phone number: 706-861-5154
Mailing Address
Mrs. REGINA MICHELLE DURHAM cota/l
1011 CARGAL ROAD
DALTON, GA 30721
Phone number: 706-278-3848