Individual
CAROLINE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5176 WRIGHTSBORO RD, GROVETOWN, GA 30813-2802
(706) 600-6117
Mailing address
3004 HAMPSHIRE DR, AUGUSTA, GA 30909-3512
(706) 799-7913
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008492
GA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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