Organization
LATONYA M ANDREWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONYA MICHELLE ANDREWS COTA/L (CERTIFIED OCCUPATIONAL THERAPY ASS)
(404) 728-6528
Entity
Organization
Contact information
Practice address
4482 WESTMINSTER DR, ELLENWOOD, GA 30294-3794
(404) 432-0871
Mailing address
4482 WESTMINSTER DR, ELLENWOOD, GA 30294-3794
(404) 432-0871
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA000811
GA
Other
Enumeration date
11/27/2012
Last updated
05/23/2014
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