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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