Individual
KIM CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1305 JENNINGS MILL RD STE 170, WATKINSVILLE, GA 30677-0037
(706) 552-1920
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT001269
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863117764A
—
GA
Enumeration date
12/18/2006
Last updated
02/19/2020
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