Individual
KATHLEEN G STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
470 CLARA DR, WHITESBURG, GA 30185-2531
(770) 214-0536
Mailing address
1825 REDBOURNE DR, ATLANTA, GA 30350-5647
(770) 522-8900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA391144
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000841937C
—
GA
Enumeration date
06/05/2006
Last updated
07/09/2007
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