Individual
KANA KOENIG GRAMLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4028 HIGHWAY 5, DOUGLASVILLE, GA 30135-3530
(770) 942-7111
Mailing address
1174 MADISON GREEN LN SW, MABLETON, GA 30126-2154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006572
GA
Other
Enumeration date
05/15/2017
Last updated
03/17/2018
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