Individual
BALEAH DENISE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3725 WHEELER RD, AUGUSTA, GA 30909-6623
(706) 251-3994
Mailing address
1805 BOWDOIN DR # 1805, AUGUSTA, GA 30909-4513
(706) 251-3994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA002874
GA
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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