Individual
KATHERINE ROSE LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1004 EDGEWATER DR, ALBANY, GA 31707-3749
(229) 894-1353
Mailing address
206 BRIDGEWATER TRL, CANTON, GA 30115-4566
(229) 894-1353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004751
GA
Other
Enumeration date
06/20/2008
Last updated
09/13/2023
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