Wise, Susan Carol

Wise, Susan Carol is an sole proprietor health care provider with primary practice located at 1120 15Th St # 2902 , Augusta GA 30912-0004. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Wise, Susan Carol can be contacted via phone (706) 721-5223.

Contact Information

Primary practice address
1120 15Th St # 2902 Augusta GA 30912-0004
Phone: (706) 721-5223
Fax: (706) 721-5228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA 000112 Georgia

Profile Details

NPI number 1275875163
LBN Legal business name Wise, Susan Carol
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2013
Last updated Mar 19th, 2013 - about 13 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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