Individual
KERI S CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
470 S. HILL STREET, HELPING HANDS PEDIATRIC THERAPY, BUFORD, GA 30518-3220
(678) 482-6100
(770) 932-5680
Mailing address
15 CHERRYSTONE WALK, SUWANEE, GA 30024-2379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 004152
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786554580A
—
GA
Enumeration date
12/18/2006
Last updated
09/23/2008
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