Individual
KELLY KAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12060 ETRIS RD STE F100, ROSWELL, GA 30075-1470
(404) 229-8166
Mailing address
12060 ETRIS RD STE F100, ROSWELL, GA 30075-1470
(404) 229-8166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003030
GA
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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