Individual
KAITLYN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
610 SPARTA RD, SANDERSVILLE, GA 31082-1860
(478) 240-2176
Mailing address
5678 GA HIGHWAY 242, SANDERSVILLE, GA 31082-8009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008653
GA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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