Individual
ELIZA KATE BRANKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1014 FORSYTH ST, MACON, GA 31201-2051
(478) 633-8100
(478) 633-6268
Mailing address
1014 FORSYTH ST, MACON, GA 31201-2051
(478) 633-8100
(478) 633-6268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007022
GA
Other
Enumeration date
04/06/2018
Last updated
07/08/2021
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