Individual
COURTNEY KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5000 RESEARCH CT STE 450, SUWANEE, GA 30024-6660
(770) 205-5551
Mailing address
200 VENUE WAY APT 2306, ALPHARETTA, GA 30005-4533
(985) 507-0993
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007310
GA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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