Individual
KELITA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 30518-8846
(678) 482-6100
(770) 932-5684
Mailing address
22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 30518-8846
(678) 482-6100
(770) 932-5684
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007528
GA
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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