Individual
MRS. KELLY BROGDON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3005 OLD ALABAMA RD BLDG E, JOHNS CREEK, GA 30022-8594
(770) 552-8852
(770) 552-8481
Mailing address
10315 AUTRY PL, JOHNS CREEK, GA 30022-5301
(404) 993-5513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003451
GA
Other
Enumeration date
06/09/2025
Last updated
06/10/2025
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