Individual
CAITLIN DANIELLE CREVISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2320 PERIMETER PARK DR, ATLANTA, GA 30341-1317
(770) 393-9901
Mailing address
3036 HOLLY ST, HOLLY SPRINGS, GA 30115-8629
(678) 522-9199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007545
GA
Other
Enumeration date
12/12/2019
Last updated
10/02/2023
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