Individual
MRS. KAITLYN BREESE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3713 TARVA RD, ALBANY, GA 31721-8687
(228) 977-5270
Mailing address
3713 TARVA RD, ALBANY, GA 31721-8687
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0022657
GA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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