Individual
ANGEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7420 SOUTHLAKE PKWY STE H, JONESBORO, GA 30236-7907
(770) 407-9259
(678) 550-4207
Mailing address
3402 OLD FAIRBURN RD, COLLEGE PARK, GA 30349-2935
(770) 407-9259
(678) 550-4207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002745
GA
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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