Individual
MR. SEAN CHARLES SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4 BRADLEY PARK CT, COLUMBUS, GA 31904-3638
(706) 221-0112
(706) 221-0114
Mailing address
4 BRADLEY PARK CT, COLUMBUS, GA 31904-3638
(706) 221-0112
(706) 221-0114
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT002478
GA
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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