Individual
MS. JULIA S GOTTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4450 OLD HAMILTON MILL RD, BUFORD, GA 30518-8813
(770) 271-2210
Mailing address
928 ROSEDALE RD NE, ATLANTA, GA 30306-4831
(770) 906-8399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002813
GA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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