Individual
DONNA MARIE COLAVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3640 MUNDY MILL ROAD, SUITE 102B, OAKWOOD, GA 30504
(770) 287-8821
(770) 287-8797
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000547
GA
Other
Enumeration date
12/21/2006
Last updated
01/08/2013
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