Individual
MRS. LAKISHA SHONTELL WILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
116 SUNNY DR, SAVANNAH, GA 31419-2069
(912) 695-0216
(912) 544-7992
Mailing address
116 SUNNY DR, SAVANNAH, GA 31419-2069
(912) 695-0216
(912) 544-7992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003547
GA
Other
Enumeration date
05/14/2008
Last updated
12/09/2014
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