Individual
KANDI WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2555 PATRICK HENRY PKWY, MCDONOUGH, GA 30253-4276
(470) 567-7868
Mailing address
1629 GALLUP DR, STOCKBRIDGE, GA 30281-2482
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002076
GA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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