Individual
KYLE GINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10050 EAGLE DR, COVINGTON, GA 30014-3804
(678) 607-6715
Mailing address
660 RALPH MCGILL BLVD NE APT 2507, ATLANTA, GA 30312-1155
(678) 262-7435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007045
GA
225X00000X
Occupational Therapist
OT18584
FL
Other
Enumeration date
06/21/2017
Last updated
03/19/2019
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