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Courtney Kinnison, OTR/L

Occupational Therapist in Suwanee, GA. Individual provider (NPI-1).

NPI number1669935839
StatusActive
Last updated in NPPESApr 12, 2019

Details

NPI
1669935839
Entity type
Individual (NPI-1)
Name
Courtney Kinnison
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2019
Last updated
Apr 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT007310GAYes

Practice location

5000 Research Ct Ste 450
Suwanee, GA 30024-6660

Phone 770-205-5551

Mailing address

200 Venue Way Apt 2306
Alpharetta, GA 30005-4533

Phone 985-507-0993

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