KAITLIN LACKEY

TYRONE, GA
NPI1407215361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT006357)
Enumeration Date2016-02-19
Last Update Date2016-02-19
Business Address
-- KAITLIN LACKEY
105 GLENDALOUGH COURT SUITE H
TYRONE, GA 30290
Phone number: 678-632-6765
Mailing Address
-- KAITLIN LACKEY
117 HARDY ROAD
SENOIA, GA 30267
Phone number: 678-371-1061
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