Provider Demographics
NPI:1265900229
Name:ALTMAN, KADI (COTA/L)
Entity type:Individual
Prefix:
First Name:KADI
Middle Name:
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 GLENORA DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-4228
Mailing Address - Country:US
Mailing Address - Phone:706-799-8881
Mailing Address - Fax:
Practice Address - Street 1:135 HOYT ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-2646
Practice Address - Country:US
Practice Address - Phone:706-549-4850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant