Individual
KIMBERLY DANIELLE GATLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 431-0816
Mailing address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 431-0816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001293
GA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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