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Individual

KRISTEN L ENOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4080 MCGINNIS FERRY RD BUILDING 300, SUITE 302, ALPHARETTA, GA 30005
(770) 410-7719
(770) 410-9510
Mailing address
4080 MCGINNIS FERRY RD BUILDING 300, SUITE 302, ALPHARETTA, GA 30005
(770) 410-7719
(770) 410-9510

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007243
GA
225X00000X
Occupational Therapist
Primary
0T007243
GA
225X00000X
Occupational Therapist
17506
FL

Other

Enumeration date
02/24/2016
Last updated
04/29/2021
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