Individual
FELICIA MATHIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
537 COLD WATER LN, MCDONOUGH, GA 30252-8066
(678) 588-3789
(678) 610-5604
Mailing address
537 COLD WATER LN, MCDONOUGH, GA 30252-8066
(678) 588-3789
(678) 610-5604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00872583C
—
GA
Enumeration date
06/07/2006
Last updated
07/09/2007
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