Individual
EMILY NONNEMAKER BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
273 QUILLIAN ST, CLEVELAND, GA 30528-1464
(706) 865-6800
Mailing address
2352 HIGHWAY 115, DEMOREST, GA 30535-3417
(706) 200-6074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007954
GA
225XP0200X
Pediatric Occupational Therapist
OT007954
GA
Other
Enumeration date
01/06/2021
Last updated
04/24/2024
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