Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY GEORGIANA MOORE, COTA/L
Active Sole ProprietorHOLLY GEORGIANA MOORE, COTA/L is a Occupational Therapy Assistant healthcare provider located in TIFTON, Georgia. NPI 1396455754 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · TIFTON, GA
Registration Details
- NPI Number
- 1396455754
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2022 (3.7390369733131 yrs)
- Last Updated
- Nov 28, 2022
- License
-
OTA002554 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 TIFT AVE N STE BTIFTON, GA, 317943577Browse GA providers · Browse ZIP 31794
- Phone
- 2293965644
- Fax
- 8555651769
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| JAKE CAVENAUGH | — | 1730508664 |
| AMBER COOPER | — | 1003474875 |
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.