Individual
MRS. KAREN OSBOURN WAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 342-8875
(912) 342-8016
Mailing address
136 MARSHS EDGE LN, ST SIMONS ISLAND, GA 31522-8898
(912) 634-4774
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
OT005047
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT005047
GA
Other
Enumeration date
01/30/2009
Last updated
11/06/2021
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