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Individual

KELLIE BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
Mailing address
955 BROOKWOOD RUN DR SW, LILBURN, GA 30047-7626

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006580
GA

Other

Enumeration date
10/18/2016
Last updated
10/18/2016
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