Deforest, Wayne Richard

Deforest, Wayne Richard is an sole proprietor health care provider with primary practice located at 1013 Riverburch Pkwy Suite 4, Dalton GA 30721-8887. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Deforest, Wayne Richard can be contacted via phone (866) 261-8090.

Contact Information

Primary practice address
1013 Riverburch Pkwy Suite 4 Dalton GA 30721-8887
Phone: (866) 261-8090
Fax: (706) 226-7869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT002653 Georgia

Profile Details

NPI number 1790911832
LBN Legal business name Deforest, Wayne Richard
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2009
Last updated Jun 3rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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