Individual
COURTNEY MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1960 GA-247 CONN, BYRON, GA 31008
(478) 654-2000
Mailing address
216 SHASTA DR, PERRY, GA 31069-8712
(478) 952-9769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007575
GA
Other
Enumeration date
11/21/2019
Last updated
06/07/2022
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