Vanessa Alzugaray, COTA
Individual provider Active NPI Occupational Therapy Assistant · Hahira, GA
NPI 1467015602 · NPPES record last updated Apr 14, 2019
Key facts
- NPI
- 1467015602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 5361 Woodrow LN
Hahira, GA 31632-2566 - Phone
- (229) 585-8347
- NPI assigned
- Apr 14, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | GA | Yes |
Addresses
Primary practice location
5361 Woodrow LN
Hahira, GA 31632-2566
Mailing address
5361 Woodrow LN
Hahira, GA 31632-2566
Other providers in Hahira, GA
- Stacey Parramore Adams
- Aging Gracefully Home Care, LLC
- Tammy Akers
- William Clyde Allen
- Azalea City Hearts
- Jamal Bajwa
- Taylor Baltrus
- Be Well Psychiatry and Counseling LLC
- Elizabeth Beckham Bickers
All providers in Hahira, 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 Apr 14, 2019. 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.