Individual
TAMEKA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10163 COUNTY LINE RD, CAMILLA, GA 31730-5061
(770) 572-6762
Mailing address
9664 ISLESWORTH WAY, SUMMERVILLE, SC 29485-9062
(770) 572-6762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
436664
GA
Other
Enumeration date
09/29/2022
Last updated
09/02/2024
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