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Individual

HEATHER WENDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
775 SUNSET DR, ATHENS, GA 30606-2211
(706) 425-1500
Mailing address
30 CROOKED CREEK WAY, COVINGTON, GA 30016-6212
(404) 513-3333

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002456
GA

Other

Enumeration date
10/22/2018
Last updated
10/22/2018
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