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Organization

REHAB POTENTIAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROSANNA HINMAN HAND O.T., C.H.T. (OPERATING MANAGER)
(706) 647-1717
Entity
Organization

Contact information

Practice address
317 W MAIN ST, THOMASTON, GA 30286-3502
(706) 647-1717
(706) 647-3737
Mailing address
317 W MAIN ST, THOMASTON, GA 30286-3502
(706) 647-1717
(706) 647-3737

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
815
GA
225XH1200X
Hand Occupational Therapist
815
GA

Other

Enumeration date
01/09/2007
Last updated
10/02/2009
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