DEYANNA EVANGELA GREEN

COLUMBUS, GA
NPI1790029478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  ota001312)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
Mrs. DEYANNA EVANGELA GREEN cota/l
4600 S STADIUM DR APT 27
COLUMBUS, GA 31909-2133
Phone number: 770-899-3872
Mailing Address
Mrs. DEYANNA EVANGELA GREEN cota/l
4600 S STADIUM DR APT 27
COLUMBUS, GA 31909-2133
Phone number: 770-899-3872