Wayne Richard Deforest II, OT

Occupational Therapist · Dalton, GA

Individual Active NPI

NPI number 1790911832

Practice location

1013 Riverburch Pkwy
Suite 4
Dalton, GA 30721-8887
Phone
(866) 261-8090
Fax
(706) 226-7869

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NPI record

NPI
1790911832
Entity type
Individual (Type 1)
Enumeration date
June 3, 2009
Last updated
June 3, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT002653 GA

About Wayne Deforest

Wayne Richard Deforest II, OT is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887. The NPI number 1790911832 was assigned on June 3, 2009 and the record was last updated on June 3, 2009.

Wayne Deforest lists a license in the registry: #OT002653 (GA) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wayne Richard Deforest II, OT?

The NPI number is 1790911832.

What is the phone number of Wayne Deforest?

The phone number listed for the practice location is (866) 261-8090.

Where is Wayne Deforest located?

1013 Riverburch Pkwy, Suite 4, Dalton, GA 30721-8887.

What is the taxonomy code for Wayne Deforest?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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