Saron Daniel
Individual provider Active NPI Occupational Therapist · Bogart, GA
NPI 1770075640 · NPPES record last updated Jun 5, 2018
Key facts
- NPI
- 1770075640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT007058 (GA)
- Practice address
- 1450 Eden Ave
Bogart, GA 30622-3365 - Phone
- (770) 634-5594
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| OT007058 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inside Out Therapy Services | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007058 | GA | Yes |
Addresses
Primary practice location
1450 Eden Ave
Bogart, GA 30622-3365
Mailing address
1450 Eden Ave
Bogart, GA 30622-3365
Phone (770) 634-5594
Other providers in Bogart, GA
- Tamara Collins
- Catherine Colquitt
- Creative Hospice Care Inc
- Creative Hospice Care, Inc
- Samuel Clark Cutler IV
- Tamika Darden
- Deneshia Davenport
- Debra Alvis, PH.D., Inc
- William Alexander Dix
- John A Dobberstein
All providers in Bogart, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2018. 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.