Individual
KIMBERLY BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
534 OWL CREEK DR, POWDER SPRINGS, GA 30127-6285
(770) 361-4124
(678) 290-5587
Mailing address
534 OWL CREEK DR, POWDER SPRINGS, GA 30127-6285
(770) 361-4124
(678) 290-5587
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
007188
GA
225X00000X
Occupational Therapist
Primary
007638
GA
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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