Individual
MARY FULLER FROSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-6258
(706) 833-3370
Mailing address
2342 FRANKLIN ST, AUGUSTA, GA 30906-3032
(706) 833-3370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004770
GA
Other
Enumeration date
02/08/2013
Last updated
06/01/2023
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