Individual
MARY KRISTEN ELENA DOWDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
815 LEGION DR, EASTMAN, GA 31023-6782
(478) 374-5571
Mailing address
1883 MACK BREWER RD, CADWELL, GA 31009-3012
(478) 308-9291
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001258
GA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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