Individual
LAURA GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L CPAM
Contact information
Practice address
139 MORAN LAKE RD NE, ROME, GA 30161-7767
(706) 378-3383
Mailing address
139 MORAN LAKE RD NE, ROME, GA 30161-7767
(706) 378-3383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000958
GA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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