Organization
SOUTHERN THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA S WEST COTA/L (COTA/L OWNER)
(229) 359-0741
Entity
Organization
Contact information
Practice address
19350 HARTFORD ST, EDISON, GA 39846-5617
(229) 359-0741
(229) 835-2119
Mailing address
PO BOX 746, EDISON, GA 39846-0746
(229) 359-0741
(229) 835-2119
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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