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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUE E GONZALEZ WILLIS, COTA

Active Sole Proprietor

SUE E GONZALEZ WILLIS, COTA is a Occupational Therapy Assistant healthcare provider located in FORT STEWART, Georgia. NPI 1033639901 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FORT STEWART, GA

Registration Details

NPI Number
1033639901
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2017 (9.1401785894356 yrs)
Last Updated
Jun 22, 2017
License
OTA002003 (GA)
Sole Proprietor
Yes

Practice Information

Address
1061 HARMON AVE
FORT STEWART, GA, 313145641
Browse GA providers · Browse ZIP 31314
Phone
9123486376
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FORT STEWART, GA

Name Credential NPI
MS. TIARA MONAI JENKINS COTA 1295255180
MERANDA MAYNOR 1851251185
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.