Rachel Dale Heath, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Nashville, GA

NPI 1619251204 · NPPES record last updated Sep 30, 2011

Key facts

NPI
1619251204
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA001083 (GA)
Practice address
613 Middle School Cir
Nashville, GA 31639-2178
Phone
(229) 507-6421
NPI assigned
Sep 30, 2011
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

LicenseStateTypeSpecialty
OTA001083GAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA001083 GA Yes

Addresses

Primary practice location

613 Middle School Cir
Nashville, GA 31639-2178

Mailing address

613 Middle School Cir
Nashville, GA 31639-2178
Phone (229) 507-6421

Other providers in Nashville, GA

All providers in Nashville, GA · Occupational Therapy Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.