Individual
MADELINE WYNNE PRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14557 HIGHWAY 19 STE C, GRIFFIN, GA 30224-9582
(770) 468-6941
Mailing address
2421 HIGH FALLS RD, GRIFFIN, GA 30223-7630
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA003072
GA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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