Individual
MRS. ELIZABETH JAYNE BAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3580 RIVER WATCH PKWY, MARTINEZ, GA 30907-3682
(706) 364-3470
Mailing address
157 ASHLEY CIR, AUGUSTA, GA 30907-1349
(706) 631-7500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA001340
GEORGIA LICENSING BOARD
GA
Enumeration date
09/15/2017
Last updated
09/15/2017
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