Individual
WALTRINA CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3725 WHEELER RD, AUGUSTA, GA 30909-6623
(706) 868-6500
Mailing address
302 WILLIAMSBURG RD APT 5104, HEPHZIBAH, GA 30815-6586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001519
GA
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
12/31/2012
Last updated
07/11/2022
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