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Organization

KAIA REHAB & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIMILYN CLARK OTR (OTR/SOLE PROPRIETOR)
(770) 807-4503
Entity
Organization

Contact information

Practice address
1321 SUGARLOAF RESERVE DR, DULUTH, GA 30097-4054
(770) 807-4503
Mailing address
5805 STATE BRIDGE RD, STE G, #224, JOHNS CREEK, GA 30097
(770) 807-4503
(470) 517-7334

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
02/09/2022
Last updated
02/09/2022
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