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MRS. DEYANNA EVANGELA GREEN, COTA/L

Active

MRS. DEYANNA EVANGELA GREEN, COTA/L is a Occupational Therapy Assistant healthcare provider located in COLUMBUS, Georgia. NPI 1790029478 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · COLUMBUS, GA

Registration Details

NPI Number
1790029478
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2012 (13.693360754656 yrs)
Last Updated
Nov 19, 2012
License
OTA001312 (GA)

Practice Information

Address
4600 S STADIUM DR
APT 27
COLUMBUS, GA, 319092133
Browse GA providers · Browse ZIP 31909
Phone
7708993872
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in COLUMBUS, GA

Name Credential NPI
KAYLA JEFFERSON COTA 1801208996
TIFFANY FREYMOYER 1881084127
MRS. SHELLEY NIKKO FOILES COTA/L 1447765615
MS. COURTNEY SHALLYA DURHAM COTA/L 1245887280
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.