Individual
KARLA DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
247 LAKESIDE DR, NEWNAN, GA 30263-5428
(770) 254-0108
Mailing address
247 LAKESIDE DR, NEWNAN, GA 30263-5428
(770) 254-0108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000515
GA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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