Individual
MRS. DAWN MARIE SCOFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA,L,SDA
Contact information
Practice address
2873 GLASS MILL RD, CHICKAMAUGA, GA 30707-3473
(706) 375-2790
Mailing address
2873 GLASS MILL RD, CHICKAMAUGA, GA 30707-3473
(706) 375-2790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000000097
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000097
OT ASSISSTANT
TN
01
—
2309
OT ASSISSTANT
NM
01
—
OTA000093
OT ASSISSTANT
GA
Enumeration date
05/28/2007
Last updated
10/02/2007
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