Individual
NETAVIA DIXON OFFIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4499 ENGLISH IVY DR, FORTSON, GA 31808-6884
(706) 322-4630
Mailing address
PO BOX 505, FORTSON, GA 31808-0505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000538
GA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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