Kimberly Black, COTA
NPI #1326415043 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1326415043
- Entity Type
- Individual
- Name
- Kimberly Black, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Aug 28, 2015
- Last Updated
- Aug 28, 2015
Practice Location
- Address
- 2403 BATTLEFIELD PKWY
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-4033
- Phone
- (706) 866-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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