Individual
KERRI O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
Mailing address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007711
GA
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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