Individual
KRISTA WILSON FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 PEACHTREE DR, SAVANNAH, GA 31419-1200
(912) 927-0500
Mailing address
168 RIDGEWOOD PARK DR S, RICHMOND HILL, GA 31324-1167
(912) 429-9583
(912) 429-9583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004975
GA
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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