IndividualActive
Ronald Dearth
NPI 1659798510 · Physical Rehabilitation Occupational Therapist · Fort Gordon, GA
Provider details
- NPI number
- 1659798510
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT006012 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 East Hospital Rd.
Fort Gordon, GA 30905
Phone: (706) 787-7448
Approximate (ZIP-level) locationGet directions
Mailing address
300 East Hospital Rd.
Fort Gordon, GA 30905
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2023-05-08
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.