Individual
MS. AMY L. KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED. OTRL
Contact information
Practice address
709 E GREEN LN, WOODSTOCK, GA 30189-7028
(770) 722-8554
(770) 928-1251
Mailing address
709 E GREEN LN, WOODSTOCK, GA 30189-7028
(770) 722-8554
(770) 928-1251
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT001215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00867688A
—
GA
Enumeration date
12/29/2006
Last updated
07/09/2007
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