Individual
KYLIE ANDRE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
684 GLENDALE RD, SCOTTDALE, GA 30079-1408
(678) 536-8365
Mailing address
684 GLENDALE RD, SCOTTDALE, GA 30079-1408
(678) 536-8365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
05/10/2022
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