NPI 1720322282

Misty Rachae Hargrove, COTAL

Practitioner Occupational Therapy Assistant Rome, GA

Practice location

Address: 809 S Broad St SW, Rome, GA 30161-4654
Phone: (706) 235-1337
Mailing address: 272 Sunset Dr, Summerville, GA 30747-7045

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA001135 (GA)

Other Occupational Therapy Assistant providers in Georgia →

Registry record

NPI: 1720322282
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2012
Record last updated: 21 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.