Individual
LAVINA MICHELLE ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
288 OSCEOLA TRL N, JESUP, GA 31545-4853
(912) 256-6122
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(888) 531-2204
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002581
GA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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