Individual
MRS. KATHRYN ANNIEMARIE CEYSSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
817 CRAWFORD AVE, AUGUSTA, GA 30904-3772
(706) 736-1255
Mailing address
2351 RUBY DR, AUGUSTA, GA 30906-3047
(706) 421-5352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008179
GA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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