Individual
JULIE LYNN KUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 PARK CITY RD, ROSSVILLE, GA 30741-3980
(877) 787-3422
(847) 441-4130
Mailing address
3622 HURRICANE RD, ROCKY FACE, GA 30740-8730
(706) 581-8554
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002098
GA
224ZE0001X
Environmental Modification Occupational Therapy Assistant
OTA002098
GA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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