Organization
OT KIDZ STYLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA RAY (OCCUPATIONAL THERAPIST)
(706) 339-4026
Entity
Organization
Contact information
Practice address
2131 MCDOWELL ST, AUGUSTA, GA 30904-4490
(706) 339-4026
Mailing address
2131 MCDOWELL ST, AUGUSTA, GA 30904-4490
(706) 339-4026
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT001615
GA
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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