Individual
RONALD LAWRENCE DEARTH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 EAST HOSPITAL RD., FORT GORDON, GA 30905
(706) 787-7448
Mailing address
300 EAST HOSPITAL RD., FORT GORDON, GA 30905
(706) 787-7448
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT006012
GA
Other
Enumeration date
03/27/2014
Last updated
05/08/2023
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