Individual
KAYLA DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
405 ARROWHEAD BLVD STE C, JONESBORO, GA 30236-1254
(770) 742-0446
Mailing address
5186 UPPER ELM ST, ATLANTA, GA 30349-1685
(678) 576-6750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007380
GA
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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