Individual
ANJU BANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 WOODFIELD DR, MACON, GA 31210-5625
(478) 475-7988
Mailing address
197 SPRINGFIELD BLVD, MACON, GA 31210-1674
(478) 954-9182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001475
GA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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