Individual
MRS. SHARON NEWTON COSPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
2315 CENTRAL AVE STE C, AUGUSTA, GA 30904-6246
(706) 364-6172
Mailing address
2351 RUBY DR, AUGUSTA, GA 30906-3047
(706) 495-2619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113248775A
—
GA
Enumeration date
08/25/2006
Last updated
04/23/2008
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