Individual
CHARLENE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
EISENHOWER ARMY MEDICAL CENTER, 300 E. HOSPITAL RD, FORT GORDON, GA 30905
(703) 862-6793
Mailing address
1271 COOSAW CT, EVANS, GA 30809-8218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131000532
VA
224Z00000X
Occupational Therapy Assistant
3057
SC
224Z00000X
Occupational Therapy Assistant
Primary
OTA001151
GA
Other
Enumeration date
12/21/2009
Last updated
07/05/2023
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