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Individual

TAYLOR MARIE FORNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
817 CRAWFORD AVE, AUGUSTA, GA 30904-3772
(706) 736-1255
Mailing address
202 THOMASBORO RD, ROCKY FORD, GA 30455-7317
(912) 682-3740

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008886
GA

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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