Deborah Durden, COTA
Individual provider Active NPI Occupational Therapy Assistant · Byron, GA
NPI 1003225624 · NPPES record last updated Aug 7, 2014
Key facts
- NPI
- 1003225624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA 000668 (GA)
- Practice address
- 104 Brighton Dr
Byron, GA 31008-3923 - Phone
- (478) 335-4243
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA 000668 | GA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA 000668 | GA | Yes |
Addresses
Primary practice location
104 Brighton Dr
Byron, GA 31008-3923
Mailing address
104 Brighton Dr
Byron, GA 31008-3923
Phone (478) 335-4243
Other providers in Byron, GA
- Crumbsnatchersllc
- Jaimi-Agnes Curry
- Christina M Deas
- Sarah Brooke Demaro
- Dental Associates of Middle Georgia, LLC
- Cynthia Dy
- Edlin Home Care Services LLC
- Angela D Finley
- Rodricka Foreman
- Four Pillars Counseling Center, LLC
All providers in Byron, GA · Occupational Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.