Individual
LUANNE THOMAS KILGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
960 HIGHLAND AVE, SUMMERVILLE, GA 30747-1930
(706) 857-4761
Mailing address
46 KRISTY LN, RINGGOLD, GA 30736-3054
(706) 965-4819
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002495
GA
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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