Individual
TERU KASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
(706) 854-8435
Mailing address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
(706) 854-8435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000572
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514940185A
—
GA
Enumeration date
01/26/2009
Last updated
01/26/2009
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