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James Penland, COTA/L

NPI 1962731950 · on the registry since 2009 · sole proprietor

Practice

Address
2414 Camelot Dr
Augusta, GA 30904
Phone
(706) 736-0867

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
224Z00000X
224Z00000X
Licence states on file
GA, VA, SC, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia