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Individual

DONNA HALL-ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/CHT

Contact information

Practice address
4510 NELSON BROGDON BLVD, BUFORD, GA 30518-3478
(770) 945-1045
(770) 954-5745
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT000863
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT000863
GEORGIA OCCUPATIONAL THERAPY LICENSE NUMBER
GA
Enumeration date
10/10/2011
Last updated
10/02/2013
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