Individual
REBECCA MONET KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3870 STREAMSIDE DR SE, MARIETTA, GA 30067-4700
(404) 538-1908
Mailing address
3870 STREAMSIDE DR SE, MARIETTA, GA 30067-4700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA002000
GA
225X00000X
Occupational Therapist
Primary
OT008146
GA
Other
Enumeration date
01/23/2019
Last updated
09/16/2021
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