Individual
KIMBERLY M FOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
369 AVIAN FOREST DR., STOCKBRIDGE, GA 30281-7268
(404) 593-6882
Mailing address
369 AVIAN FOREST DR., STOCKBRIDGE, GA 30281-7268
(404) 593-6882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005795
GA
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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