Individual
NIKKI K SANGSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6346 TIPPETTVILLE RD, VIENNA, GA 31092-6518
(229) 947-0481
Mailing address
6346 TIPPETTVILLE RD, VIENNA, GA 31092-6518
(229) 947-0481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000734
GA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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