Individual
MRS. MARLENA HOSTETTER WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1905 N COLUMBIA ST STE 4, MILLEDGEVILLE, GA 31061-2019
(478) 363-5182
Mailing address
149 COUNTY LINE RD NW, HADDOCK, GA 31033-2411
(478) 363-5182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5132
GA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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