Kathleen Sophia Meloy Lane

NPI #1447010624 in Carrollton, Georgia

Provider Information

NPI Number: 1447010624
Entity Type: Individual
Name: Kathleen Sophia Meloy Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 22, 2024
Last Updated: Mar 28, 2024

Practice Location

Address: 812 S PARK ST STE 1
City: Carrollton
State: Georgia
ZIP Code: 30117-4412
Phone: (770) 834-7436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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