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1174167860
LIBBY KELLAR LITTLE
DECATUR, GA
NPI
1174167860
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Former Name
LIBBY ANNE KELLAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT007550)
Enumeration Date
2019-11-05
Last Update Date
2023-08-27
Business Address
LIBBY KELLAR LITTLE OTR/L
1270 MCCONNELL DR STE B
DECATUR, GA 30033-3507
Phone number: 770-892-6879
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Mailing Address
LIBBY KELLAR LITTLE OTR/L
600 HENRY DR
WOODSTOCK, GA 30188-4158
Phone number: 404-935-8172
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