Individual
LATOYA S. HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
206 QUEEN ST STE 10, VIDALIA, GA 30474-4263
(912) 537-3066
(912) 538-9812
Mailing address
PO BOX 2145, VIDALIA, GA 30475-2145
(912) 537-3066
(912) 538-9812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003870
GA
225XP0200X
Pediatric Occupational Therapist
OT003870
GA
Other
Enumeration date
05/02/2007
Last updated
12/19/2022
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