Individual
AVONDA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
36261 OKEFENOKEE DR, FOLKSTON, GA 31537-7853
(912) 496-7396
Mailing address
7980 JEFF DR, JACKSONVILLE, FL 32244-2515
(678) 770-8320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A01549
MD
224Z00000X
Occupational Therapy Assistant
Primary
OTA001248
GA
Other
Enumeration date
09/19/2008
Last updated
11/12/2010
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