Individual
MS. AMBER VAN ATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3051 WATSON BLVD, WARNER ROBINS, GA 31093-8536
(478) 971-2208
Mailing address
3051 WATSON BLVD, WARNER ROBINS, GA 31093-8536
(478) 971-2208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000648
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000648
OTA
GA
Enumeration date
06/10/2006
Last updated
10/22/2010
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