| NPI | 1538370879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY COVENEY Insurance Coordinator 770-355-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT0003329) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |