Individual
MRS. KELLYN COLCLOUGH ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
326 BOY SCOUT RD, AUGUSTA, GA 30909-2006
(706) 738-6003
Mailing address
334 SUMAC TRL, EVANS, GA 30809-0789
(803) 840-5393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5044
SC
Other
Enumeration date
11/03/2022
Last updated
08/14/2024
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