| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NIA ASHLEY AUGUSTIN | 1205403615 | 2021-06-06 |
Nia Ashley Augustin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205403615. Registration indicates Nia Ashley Augustin is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Nia Ashley Augustin |
| Practice Office Address | 1860 ATKINSON RD STE 101 LAWRENCEVILLE, GA US |
| Practice Office Telephone | 7069482773 |
| Mailing Address | 909 REDSTONE RD DACULA, GA 300197416 US |
| Business Telephone | 6782006031 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | OT007753
GA |