Individual
KAYLA MARIE SPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
285 SUMMERLIN BLVD, NEWNAN, GA 30265-6299
(678) 990-8918
Mailing address
4311 LAKESIDE WAY, NEWNAN, GA 30265-5612
(678) 777-7643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007871
GA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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