Individual
ASHLEY NICOLE ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
409 PLEASANT HOME RD, AUGUSTA, GA 30907-3523
(850) 480-3383
Mailing address
2519 LAURENS ST, GROVETOWN, GA 30813-3440
(850) 480-3383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA003135
GA
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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