Individual
KATE LYNN KOWALYSHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1270 MCCONNELL DR STE B, DECATUR, GA 30033-3507
(404) 521-4121
Mailing address
465 MEMORIAL DR SE UNIT 320, ATLANTA, GA 30312-2283
(630) 696-0961
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007899
GA
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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