Individual
KELSEY ELIZABETH HUMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2346 WISTERIA DR STE 220, SNELLVILLE, GA 30078-6174
(912) 520-0915
Mailing address
61 W JEROME ST, HOMERVILLE, GA 31634-2210
(912) 520-0915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007266
GA
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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