Individual
MRS. KAITLYN MARIE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
993 JOHNSON FY RD NE STE F210, ATLANTA, GA 30342-1688
(404) 256-1727
(404) 252-3591
Mailing address
135 GROGANS LAKE DR, ATLANTA, GA 30350-3115
(320) 290-5699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT006305
GA
363A00000X
Physician Assistant
Primary
10860
GA
Other
Enumeration date
02/16/2017
Last updated
07/26/2023
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