Individual
VORYA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 MCCALL CIR, MACON, GA 31217-4607
(478) 262-4355
Mailing address
1045 MCCALL CIR, MACON, GA 31217-4607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001669
GA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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