TOMMY TANNER

AUGUSTA, GA
NPI1437719713
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA000595)
Enumeration Date2019-06-18
Last Update Date2019-06-18
Business Address
TOMMY TANNER COTA
3018 SPICEWOOD DR
AUGUSTA, GA 30909-6489
Phone number: 706-834-8219
Mailing Address
TOMMY TANNER COTA
3018 SPICEWOOD DR
AUGUSTA, GA 30909-6489
Phone number: