Individual
DERRICKA L HARTFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
218 DODD AVE SW, ATLANTA, GA 30315-1021
(248) 935-5797
Mailing address
218 DODD AVE SW, ATLANTA, GA 30315-1021
(248) 935-5797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
397786
GA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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