Individual
MRS. NICOLA SIMONE GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
551 HUNTINGTON PL, ROSWELL, GA 30076-4125
(954) 701-5479
Mailing address
551 HUNTINGTON PL, ROSWELL, GA 30076-4125
(954) 701-5479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 000989
GA
Other
Enumeration date
04/21/2013
Last updated
04/21/2013
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