Individual
CAROL WHITTENBURG BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2089 TERON TRCE, SUITE 120, DACULA, GA 30019-1609
(770) 904-6009
(770) 904-2357
Mailing address
2089 TERON TRCE, SUITE 120, DACULA, GA 30019-1609
(770) 904-6009
(770) 904-2357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005166
GA
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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