Individual
KIMBERLY GAIL MCCANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
355 IRISH LAKE RD, EAST DUBLIN, GA 31027-8572
(478) 275-0905
Mailing address
355 IRISH LAKE RD, EAST DUBLIN, GA 31027-8572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
GA
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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