Individual
KELLY ANN GONTESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
572 LAKE DR, SNELLVILLE, GA 30039-6682
(404) 441-9398
Mailing address
572 LAKE DR, SNELLVILLE, GA 30039-6682
(404) 441-9398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003100
GA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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