IndividualActive
Judith Mcknight, OTR
NPI 1790969095 · Mental Health Occupational Therapist · Fort Gordon, GA
Provider details
- NPI number
- 1790969095
- Entity type
- Individual
- Primary specialty
- Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT002730 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 East Hospital Road
Fort Gordon, GA 30905-0000
Phone: (706) 504-7105
Approximate (ZIP-level) locationGet directions
Mailing address
2493 William Few Pkwy
Evans, GA 30809-7436
Registry dates
- Enumerated
- 2007-12-21
- Last updated
- 2023-03-22
- Certified
- 2023-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.