Individual
MS. TENESHIA P. EDOUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 EAST HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-1055
(706) 787-8176
Mailing address
300 E. HOSPITAL ROAD, FORT GORDON, GA 30905
(706) 787-1055
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000489
GA
Other
Enumeration date
05/08/2008
Last updated
05/23/2023
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