Individual
KRISTIN BOATNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
262 LAKEVIEW LN, HIRAM, GA 30141-4424
(770) 361-4124
(770) 445-3073
Mailing address
262 LAKEVIEW LN, HIRAM, GA 30141-4424
(770) 361-4124
(770) 445-3073
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001622
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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