Individual
MS. CAROL S BOCZARSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3471 DEERFIELD LN NW, KENNESAW, GA 30144-1888
(770) 792-5986
(678) 290-0173
Mailing address
3471 DEERFIELD LN NW, KENNESAW, GA 30144-1888
(770) 792-5986
(678) 290-0173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT002232
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT002232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091987A
—
GA
01
—
52748023002
BC/BS
—
Enumeration date
04/28/2006
Last updated
09/11/2025
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