Individual
RITA MICHELLE GHOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS OTR/L
Contact information
Practice address
7201 TURNER LAKE RD NW STE 13, COVINGTON, GA 30014-2067
(470) 444-1609
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005128
GA
Other
Enumeration date
01/18/2012
Last updated
09/06/2023
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