Organization
ACHELOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN ROBBINS-KRALAPP RN JD (PRESIDENT)
(239) 471-0116
Entity
Organization
Contact information
Practice address
3540 WHEELER RD STE 508, AUGUSTA, GA 30909
(706) 364-3507
Mailing address
3314 SE 22ND AVE, CAPE CORAL, FL 33904-4421
(239) 540-2725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005909
GA
Other
Enumeration date
02/06/2018
Last updated
08/06/2018
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