Individual
VANESSA ANAYA OCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2704 N OAK ST BLDG A2, VALDOSTA, GA 31602-5900
(229) 253-1009
Mailing address
2704 N OAK ST BLDG A2, VALDOSTA, GA 31602-5900
(229) 253-1009
(229) 253-1039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007430
GA
225XP0200X
Pediatric Occupational Therapist
3368
NM
225XP0200X
Pediatric Occupational Therapist
OT007430
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003224876A
—
GA
05
—
10171568
—
NM
01
—
326556
MEDICARE
NM
Enumeration date
04/29/2015
Last updated
11/19/2020
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