Individual
MRS. CAROLYN JILL BARYLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11405 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1688
(770) 814-0505
Mailing address
4925 CHELTENHAM PL, CUMMING, GA 30041-5818
(404) 217-0785
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003014
GA
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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