MISTY MYRICK COPELAND

SUMMERVILLE, GA
NPI1508424458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA001260)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
MISTY MYRICK COPELAND COTA/L
318 KEEN RD
SUMMERVILLE, GA 30747-6379
Phone number: 706-857-8890
Mailing Address
MISTY MYRICK COPELAND COTA/L
318 KEEN RD
SUMMERVILLE, GA 30747-6379
Phone number:
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