Individual
KRYSTAL NEWKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4851 LULA ST NW, LILBURN, GA 30047-3850
(678) 697-6049
Mailing address
1580 CARPENTER RD S, TIFTON, GA 31793-7926
(229) 854-3607
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005809
GA
Other
Enumeration date
03/15/2014
Last updated
01/09/2020
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