NPI 1588853790
Stacy Sue Rush, COTAL
Practice location
- Address
- 322 Miller Rd, Leesburg, GA 31763-3005
- Phone
- (229) 894-6311
Registered specialties
Occupational Therapy Assistant
Primary
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.