Organization
CTM OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA T. MORIN OTR/L (OWNER/PRESIDENT)
(706) 831-0129
Entity
Organization
Contact information
Practice address
987 REYNOLDS FARM RD, GROVETOWN, GA 30813-4835
(706) 854-0644
(706) 854-0644
Mailing address
PO BOX 212174, AUGUSTA, GA 30917-2174
(706) 831-0129
(706) 854-0644
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT000244
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354744
WELLCARE OF GA
GA
Enumeration date
11/03/2006
Last updated
08/22/2020
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