Individual
KIMBERLY D'ADDARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
310 PAPER TRAIL WAY, SUITE 302, CANTON, GA 30115-5203
(770) 345-2804
(678) 827-0927
Mailing address
310 PAPER TRAIL WAY, SUITE 302, CANTON, GA 30115
(770) 345-2804
(678) 827-0927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003747
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871850021E
—
GA
Enumeration date
09/27/2006
Last updated
02/04/2012
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