Individual
VICTORIA CARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
Mailing address
1850 SALEM RD, THOMSON, GA 30824-8500
(706) 699-0598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007315
GA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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