| NPI | 1861526188 |
|---|---|
| Doing Business As | PROVIDENT HAND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTHA MARTIN WRIGHT President 912-351-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 000663) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |