Individual
CHRISTINA SAMAR KHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
2258 WRIGHTSBORO RD, SUITE 250, AUGUSTA, GA 30904-4887
(706) 724-6543
(206) 350-9023
Mailing address
2258 WRIGHTSBORO RD, SUITE 250, AUGUSTA, GA 30904-4887
(706) 724-6543
(206) 350-9023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006175
GA
225XM0800X
Mental Health Occupational Therapist
OT006175
GA
225XN1300X
Neurorehabilitation Occupational Therapist
OT006175
GA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT006175
GA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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