Individual
KAYLA VAN WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 651-6661
Mailing address
305 EMILY CT, HARLEM, GA 30814-6416
(859) 707-3744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006994
GA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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