Individual
MS. ELIZABETH TARA CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
705 17TH ST STE 407, COLUMBUS, GA 31901-3514
(706) 321-0930
(706) 571-0960
Mailing address
1711 SAINT ELMO DR APT A, COLUMBUS, GA 31901-1231
(706) 366-2318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018074628A
—
GA
Enumeration date
07/13/2010
Last updated
11/04/2010
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