Individual
KATY ANN KOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4190
GA
225XP0200X
Pediatric Occupational Therapist
4190
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10040343
AMERIGROUP
GA
05
—
212867363A
—
GA
01
—
318302
WELLCARE
GA
01
—
4190
OCCUPATIONAL THERAPY LICE
GA
Enumeration date
12/11/2006
Last updated
09/27/2013
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