IndividualActive
Brooke Gibson, COTA/L
NPI 1295512093 · Occupational Therapy Assistant · Ellijay, GA
Provider details
- NPI number
- 1295512093
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA002788 (GA)
Mailing address
175 Boardtown Rd Unit B
Ellijay, GA 30540-2354
Registry dates
- Enumerated
- 2023-09-13
- Last updated
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.