Individual
KAYLA NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
933 HIGHWAY 29 NORTH, ATHENS, GA 30601
(706) 452-5836
Mailing address
2397 S LUMPKIN ST, ATHENS, GA 30606-5037
(706) 424-1673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002219
GA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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