IndividualActive
Chandler Edge, COTA/L
NPI 1841950441 · Occupational Therapy Assistant · Kathleen, GA
Provider details
- NPI number
- 1841950441
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTA002569 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
402 General Courtney Hodges Boulevard
301
Kathleen, GA 31047
Phone: (478) 213-2927
Approximate (ZIP-level) locationGet directions
Mailing address
402 General Courtney Hodges Boulevard
Kathleen, GA 31047
Registry dates
- Enumerated
- 2021-12-22
- Last updated
- 2021-12-22
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.