Individual
TATIANA BARKOVA-TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2258 WRIGHTSBORO RD STE 250, AUGUSTA, GA 30904-7605
(706) 724-6543
(206) 350-9023
Mailing address
2258 WRIGHTSBORO RD STE 250, AUGUSTA, GA 30904-7605
(706) 724-6543
(206) 350-9023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001988
GA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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