NPI 1457695876

Jennifer Vandenburg, COTAL

Practitioner Occupational Therapy Assistant Cartersville, GA

Practice location

Address: 78 Opal St, Cartersville, GA 30120-2848
Phone: (770) 382-6120
Mailing address: 13 Overlook Cir, Euharlee, GA 30145-2884

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA000964 (GA)

Other Occupational Therapy Assistant providers in Georgia →

Registry record

NPI: 1457695876
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2012
Record last updated: 26 Nov 2012

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.