Organization
OAKHURST OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN T EBERSOLD (OWNER)
(404) 931-1615
Entity
Organization
Contact information
Practice address
208 MAXWELL ST, DECATUR, GA 30030-4209
(404) 931-1615
Mailing address
208 MAXWELL ST, DECATUR, GA 30030-4209
(404) 931-1615
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2532
GA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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