Individual
SHAVONNA S WARTHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2514 HARBIN VILLAGE CT, MORROW, GA 30260-2023
(404) 394-9947
Mailing address
2514 HARBIN VILLAGE CT, MORROW, GA 30260-2023
(404) 394-9947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004221
GA
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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