Individual
MARYBETH TEETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1600 ANTHONY RD, AUGUSTA, GA 30904-4824
(706) 738-3301
Mailing address
2236 LEE ST, AUGUSTA, GA 30904-4834
(706) 284-8369
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001188
GA
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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