Individual
MRS. CAITLIN STALLINGS FEALKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
444 PARK WEST DR, GROVETOWN, GA 30813-3216
(706) 868-6543
Mailing address
3026 WALTON WAY EXT, AUGUSTA, GA 30909-3442
(478) 957-1160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005555
GA
Other
Enumeration date
12/22/2012
Last updated
12/22/2012
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