Individual
CONSTANCE TOLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 WASHINGTON COMMONS DR, EVANS, GA 30809-3159
(706) 222-7314
Mailing address
1513 OGLETHORPE DR, HEPHZIBAH, GA 30815-0015
(706) 551-0487
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002221
GA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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