Individual
KRISTIN HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1925 VAUGHN RD NW, KENNESAW, GA 30144-4560
(770) 218-6274
Mailing address
1925 VAUGHN RD NW, KENNESAW, GA 30144-4560
(770) 218-6274
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3022
SC
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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