Whalio Doctors

NPI 1588853790

Stacy Sue Rush, COTAL

Practitioner Occupational Therapy Assistant Leesburg, GA

Practice location

Address
322 Miller Rd, Leesburg, GA 31763-3005
Phone
(229) 894-6311

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA10399 (FL)

Registry record

NPI
1588853790
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Oct 2007
Record last updated
24 Oct 2007

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.