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

MR. JAMES WALKER PENLAND JR., COTA/L

Active Sole Proprietor

MR. JAMES WALKER PENLAND JR., COTA/L is a Occupational Therapy Assistant healthcare provider located in AUGUSTA, Georgia. NPI 1962731950 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · AUGUSTA, GA

Registration Details

NPI Number
1962731950
Provider Type
Individual
Gender
Male
NPI Issued
Dec 22, 2009 (16.602608290692 yrs)
Last Updated
Dec 22, 2009
Licenses
001090 (GA)
0131000520 (VA)
2772 (SC)
1785 (TN)
Sole Proprietor
Yes

Practice Information

Address
2414 CAMELOT DR
AUGUSTA, GA, 309043327
Browse GA providers · Browse ZIP 30904
Phone
7067360867
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
ALEXIS VONTICE SMALLEY 1396089066
WALTRINA CHANCE COTA 1659617272
SUSAN CAROL WISE COTA/L 1275875163
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.