Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN CAROL WISE, COTA/L
Active Sole ProprietorSUSAN CAROL WISE, COTA/L is a Occupational Therapy Assistant healthcare provider located in AUGUSTA, Georgia. NPI 1275875163 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · AUGUSTA, GA
Registration Details
- NPI Number
- 1275875163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2013 (13.381874763322 yrs)
- Last Updated
- Mar 19, 2013
- License
-
OTA 000112 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1120 15TH ST # 2902AUGUSTA, GA, 309120004Browse GA providers · Browse ZIP 30912
- Phone
- 7067215223
- Fax
- 7067215228
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| THOMAS OBERRY | — | 1457390643 |
| MRS. SHANNON MARIE MATTA | COTA | 1376637074 |
| MELISSA STARK | COTA | 1386891513 |
| MR. JAMES WALKER PENLAND JR. | COTA/L | 1962731950 |
| ALEXIS VONTICE SMALLEY | — | 1396089066 |
| WALTRINA CHANCE | COTA | 1659617272 |
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.