Individual
MRS. KELSEY WATTS SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4452
AL
225X00000X
Occupational Therapist
Primary
OT007652
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007652
OT LICENSE
GA
Enumeration date
03/25/2017
Last updated
02/27/2023
Update your record
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