Individual
KRISTINE ELIZABETH GAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 WASHINGTON COMMONS DR, EVANS, GA 30809-3159
(844) 530-9722
Mailing address
1439 SUMMIT WAY, GROVETOWN, GA 30813-5927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001947
GA
Other
Enumeration date
03/10/2019
Last updated
03/10/2019
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