Individual
KATHLEEN BELLAFAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
103 GLEN TRL, WOODSTOCK, GA 30188-6114
(678) 478-2173
(866) 807-2926
Mailing address
103 GLEN TRL, WOODSTOCK, GA 30188-6114
(678) 478-2173
(866) 807-2926
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000101
GA
Other
Enumeration date
10/12/2012
Last updated
11/23/2016
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