Individual
SHEMONICA KEANNE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(770) 683-6904
Mailing address
280 BEVERLY PARK CT, NEWNAN, GA 30263-6028
(770) 253-1835
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
OTA002108
GA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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