Individual
KYLIE EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6079 KNOLOGY WAY, COLUMBUS, GA 31909-4963
(706) 507-4433
(706) 504-4463
Mailing address
6079 KNOLOGY WAY, COLUMBUS, GA 31909-4963
(706) 507-4433
(706) 504-4463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008129
GA
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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