Individual
EVAN RUSSELL MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1233 POSTON PL SE, SMYRNA, GA 30080-1917
(706) 294-1942
Mailing address
1460 S JOHNSON FERRY RD, ATLANTA, GA 30319-4301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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