Most Relevant Information
Provider Data
| NPI Number: | 1003019332 |
| Provider Name: | SUNETTE PAYNE OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 002192 |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6135 ROOSEVELT HWY
WARM SPRINGS
GA
31830
Practice Location Phone/Fax
| Phone: | 7066555636 |
| Fax: |
Provider Mailing Location
1968 HADLEY RD
PINE MOUNTAIN
GA
318223237
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |