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Individual

KRISTEN LEIGH BASHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
6334 AARONS WAY, FLOWERY BRANCH, GA 30542-7588
(770) 530-6567
Mailing address
6334 AARONS WAY, FLOWERY BRANCH, GA 30542-7588

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004017
GA

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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