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Baleah Denise Anderson, COTA

Occupational Therapist in Augusta, GA. Individual provider (NPI-1).

NPI number1558069724
StatusActive
Last updated in NPPESFeb 17, 2023

Details

NPI
1558069724
Entity type
Individual (NPI-1)
Name
Baleah Denise Anderson
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 17, 2023
Certification date
Feb 17, 2023
Last updated
Feb 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOTA002874GAYes

Practice location

3725 Wheeler Rd
Augusta, GA 30909-6623

Phone 706-251-3994

Mailing address

1805 Bowdoin Dr # 1805
Augusta, GA 30909-4513

Phone 706-251-3994

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