Individual
LINDSAY LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 WHEELER RD, AUGUSTA, GA 30909-6623
(706) 868-6500
Mailing address
3709 PEBBLE BEACH DR, MARTINEZ, GA 30907-9091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004777
GA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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