Individual
MRS. MIRANDA LEIGH QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1703 MEADOWS LN, VIDALIA, GA 30474-8915
(912) 537-8921
Mailing address
2700 CURLS LN, CADWELL, GA 31009-3261
(478) 689-4070
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000974
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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