Individual
TERA DAWN TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
156 RACCOON RUN, FORTSON, GA 31808-7326
(706) 464-4445
Mailing address
1819 W PINE LAKE DR, WEST POINT, GA 31833-4216
(706) 464-4445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003325
GA
225X00000X
Occupational Therapist
2378
AL
225X00000X
Occupational Therapist
OT00004581
WA
225X00000X
Occupational Therapist
Primary
OT003325
GA
225X00000X
Occupational Therapist
OT10412
CA
Other
Enumeration date
08/31/2006
Last updated
09/12/2023
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