NPI 1730508664

Jake Cavenaugh

Practitioner Occupational Therapy Assistant Tifton, GA

Practice location

Address: 15 Salem Church Rd, Tifton, GA 31793-6754
Phone: (229) 392-0558

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Georgia →

Registry record

NPI: 1730508664
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2014
Record last updated: 8 Apr 2014

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.