Individual
MRS. MARSHA T. YOUMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003960
GA
225XP0200X
Pediatric Occupational Therapist
003960
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380693
WELLCARE
GA
05
—
733249790B
—
GA
05
—
733249790C
—
GA
Enumeration date
12/02/2006
Last updated
01/28/2009
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