Individual
KAYLA NICOLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
165 RIDGECREST CIR, CLAYTON, GA 30525-4196
(706) 782-6330
(706) 532-6750
Mailing address
165 RIDGECREST CIR, CLAYTON, GA 30525-4196
(706) 782-6330
(706) 532-6750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007637
GA
Other
Enumeration date
02/04/2020
Last updated
09/16/2020
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