Individual
DAPHYNE MARIE EWINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4605 GILLIONVILLE RD, ALBANY, GA 31721-9565
(229) 343-3957
Mailing address
4605 GILLIONVILLE RD, ALBANY, GA 31721-9565
(229) 343-3957
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001439
GA
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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