KIMBERLY BLACK

FORT OGLETHORPE, GA
NPI1326415043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA001922)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: TN  2530)
Enumeration Date2015-08-28
Last Update Date2015-08-28
Business Address
-- KIMBERLY BLACK COTA
2403 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742-4033
Phone number: 706-866-7700
Mailing Address
-- KIMBERLY BLACK COTA
71 CLARK RD
TUNNEL HILL, GA 30755-6800
Phone number: 423-463-6531