Individual
MR. RICHARD TARUVINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7863 HEATHMORE DR, FAIRBURN, GA 30213-7418
(678) 458-8129
(770) 774-2223
Mailing address
7863 HEATHMORE DR, FAIRBURN, GA 30213-7418
(678) 458-8129
(770) 774-2223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001750
GA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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