Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT007932 | GA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT007932 | GA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT007932 | GA |
NPI | 1023605987 |
---|---|
Provider Name | Ariana Celene Cheas |
First Address | Savannah, GA 31406-4417 |
Second Address | Hinesville, GA 31313-4312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2020 |
Last Update Date | 28/12/2020 |