Individual
KATRINA DARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
111 RENEGAR WAY, SAINT SIMONS ISLAND, GA 31522-8840
(912) 291-2032
(912) 291-2095
Mailing address
182 SOMERSBY POINTE, BRUNSWICK, GA 31523-7076
(413) 320-8089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006827
GA
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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