Individual
LINDSAY MURRAY SOUTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2367 HWY 88, HEPHZIBAH, GA 30815
(706) 592-5565
(706) 592-5565
Mailing address
3610 WESTHAMPTON DR, MARTINEZ, GA 30907-3036
(706) 829-2325
(706) 592-5565
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4398
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476567855B
—
GA
Enumeration date
11/08/2006
Last updated
08/30/2021
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