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Individual
MRS. KAITLYN MARIE FREEMAN
Active
Individual
MRS. KAITLYN MARIE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT006305
GA
363A00000X
Physician Assistant
Primary
10860
GA
Other
Enumeration date
02/16/2017
Last updated
07/26/2023
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