Individual
KATHRYN LEE WEATHERSBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3618 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 860-7574
Mailing address
3618 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 860-7574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001530
GA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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