NPI 1275875163

Susan Carol Wise, COTAL

Practitioner Occupational Therapy Assistant Augusta, GA

Practice location

Address: 1120 15th St # 2902, Augusta, GA 30912-0004
Phone: (706) 721-5223
Fax: (706) 721-5228
Mailing address: 1446 Harper St, Augusta, GA 30912-0012

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA 000112 (GA)

Other Occupational Therapy Assistant providers in Georgia →

Registry record

NPI: 1275875163
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2013
Record last updated: 19 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.