Individual
MRS. MINDY KAYE PROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
280 THE OAKS DR, ELLIJAY, GA 30540-2172
(770) 893-9464
Mailing address
280 THE OAKS DR, ELLIJAY, GA 30540-2172
(770) 893-9464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002390
GA
Other
Enumeration date
04/15/2012
Last updated
04/15/2012
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