Individual
MISS RACHEL HELEN COUSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1127 QUEENSBOROUGH BLVD STE 104, MT PLEASANT, SC 29464-5431
(404) 771-2468
Mailing address
5491 PINE FOREST CIR, GAINESVILLE, GA 30504-5107
(404) 771-2468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5238
SC
225X00000X
Occupational Therapist
OT006568
GA
Other
Enumeration date
10/04/2016
Last updated
07/16/2020
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