Individual
DONNA BAKER SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 S BROAD ST, THOMASVILLE, GA 31792-6195
(229) 343-0634
Mailing address
712 WINIFRED RD, LEESBURG, GA 31763-5350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000865
GA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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