Individual
ADRIENNE WOSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2407 ANDOVER DR, SUITE B, VALDOSTA, GA 31602-1280
(229) 247-0038
(229) 671-1005
Mailing address
2407 ANDOVER DR, SUITE B, VALDOSTA, GA 31602-1280
(229) 247-0038
(229) 671-1005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2492
AL
225X00000X
Occupational Therapist
Primary
OT004574
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51537177
—
AL
05
—
890017520
—
AL
Enumeration date
06/07/2006
Last updated
05/08/2017
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