Individual
KIMBERLY E WOOTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
345 RIDGE CT, ROSWELL, GA 30076-2620
(770) 641-9239
(770) 641-9335
Mailing address
345 RIDGE CT, ROSWELL, GA 30076-2620
(770) 641-9239
(770) 641-9335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT003935OT
GA
Other
Enumeration date
02/26/2007
Last updated
07/09/2007
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