Individual
KIMBERLY CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 830-5954
Mailing address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 830-5954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004473
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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