Individual
DEBORAH DURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
104 BRIGHTON DR, BYRON, GA 31008-3923
(478) 335-4243
Mailing address
104 BRIGHTON DR, BYRON, GA 31008-3923
(478) 335-4243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 000668
GA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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