Individual
LINDA CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 ERNEST W BARRETT PKWY NW STE 58, KENNESAW, GA 30144-4918
(770) 425-2440
Mailing address
710 CROWN CV, ALPHARETTA, GA 30004-4571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT003710
LICENSE#
GA
Enumeration date
11/01/2006
Last updated
07/08/2007
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