Individual
VANESSA SABLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6234 LULLWATER DR, DOUGLASVILLE, GA 30135-3722
(678) 492-7216
Mailing address
6234 LULLWATER DR, DOUGLASVILLE, GA 30135-3722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002791
GA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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