DEVENNEY BROWN

PAVO, GA
NPI1760153118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA002612)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
DEVENNEY BROWN COTA/L
5088 S COUNTY LINE ST
PAVO, GA 31778-3326
Phone number: 229-200-3073
Mailing Address
DEVENNEY BROWN COTA/L
PO BOX 62
PAVO, GA 31778-0062
Phone number: 229-200-3073