Individual
CHENG CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
422 RENOWN CT, WINDER, GA 30680-4022
(678) 898-9404
Mailing address
5266 CAPAC RD, MUSSEY, MI 48014-1901
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
MEDICARE
—
Enumeration date
03/15/2010
Last updated
08/28/2019
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