MISTY RACHAE HARGROVE

ROME, GA
NPI1720322282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  ota001135)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
-- MISTY RACHAE HARGROVE COTA/L
809 S BROAD ST SW
ROME, GA 30161-4654
Phone number: 706-235-1337
Mailing Address
-- MISTY RACHAE HARGROVE COTA/L
272 SUNSET DR
SUMMERVILLE, GA 30747-7045
Phone number: 706-331-5113
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