Individual
MRS. CINDY VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
802 SOUTH 2ND STREET, GLENWOOD, GA 30428
(912) 523-5961
(912) 379-0081
Mailing address
802 SOUTH 2ND STREET, GLENWOOD, GA 30428
(912) 523-5961
(912) 379-0081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1216
GA
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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