Individual
TONYA TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 OAKHURST DR, EVANS, GA 30809-3711
(706) 869-4501
Mailing address
801 OAKHURST DR, EVANS, GA 30809-3711
(706) 869-4501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3293
SC
224Z00000X
Occupational Therapy Assistant
Primary
OTA000368
GA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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