Individual
MR. COREY THOMAS CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2861 TRAILING IVY WAY, BUFORD, GA 30519-7777
(804) 516-1166
Mailing address
2861 TRAILING IVY WAY, BUFORD, GA 30519-7777
(804) 516-1166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001550
GA
Other
Enumeration date
02/05/2013
Last updated
04/19/2017
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