Individual
SEVETRA SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1986 NEPTUNE DR, AUGUSTA, GA 30906-5703
(803) 761-8951
Mailing address
1986 NEPTUNE DR, AUGUSTA, GA 30906-5703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001529
GA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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