Individual
ALEXANDREA P MASSINGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2470 DUG GAP RD, DALTON, GA 30720-9210
(706) 810-5980
Mailing address
63 BANDY ESTATES RD, LA FAYETTE, GA 30728-4335
(706) 767-1009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001652
GA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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