Individual
KATHRYN CARGILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 DEVANT ST STE 703, FAYETTEVILLE, GA 30214-2717
(404) 309-9568
Mailing address
125 PYRON PT, TYRONE, GA 30290-2363
(404) 309-9568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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