Individual
MR. KEYTA ROMOND RANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1833 CLIFTON RD, ATLANTA, GA 30329
(251) 382-8541
Mailing address
1833 CLIFTON RD, ATLANTA, GA 30329
(251) 382-8541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001119
GA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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