Individual
GRACELINE LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1821 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7471
(706) 861-7472
Mailing address
1821 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7471
(706) 861-7472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008542
GA
Other
Enumeration date
07/22/2022
Last updated
04/24/2024
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