Individual
AFRICA MINCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
711 TWIN OAKS DR, APARTMENT 3, DECATUR, GA 30030-4001
(954) 226-8079
Mailing address
711 TWIN OAKS DR APT 3, DECATUR, GA 30030-4001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006507
GA
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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