Individual
TWANNA LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 GAINES SCHOOL RD, APT G61, ATHENS, GA 30605-3192
(636) 698-4825
Mailing address
750 GAINES SCHOOL RD, APT G61, ATHENS, GA 30605-3192
(636) 698-4825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001912
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA001912
COTA GA LICENCE NUMBER
GA
Enumeration date
06/30/2015
Last updated
01/04/2016
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