Individual
GINA VERSACE-VREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4435 NEWHALL DR, CUMMING, GA 30040-1302
(678) 648-9881
Mailing address
4435 NEWHALL DR., CUMMING, GA 30040
(678) 648-9881
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001680
GA
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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