Individual
MRS. BILLIE JEWELL CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4900 TILLMAN XING, HAHIRA, GA 31632-4108
(229) 251-2201
Mailing address
2941 N ASHLEY ST, SUITE D, VALDOSTA, GA 31602-5945
(229) 253-8500
(229) 253-8522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA002038
GA
225X00000X
Occupational Therapist
Primary
OT008560
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA002038
GEORGIA SECRETARY OF STATE
GA
Enumeration date
04/07/2016
Last updated
08/02/2022
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