KATHLEEN SOPHIA MELOY LANE

CARROLLTON, GA
NPI1447010624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT009089)
Enumeration Date2024-03-22
Last Update Date2024-03-28
Business Address
KATHLEEN SOPHIA MELOY LANE
812 S PARK ST STE 1
CARROLLTON, GA 30117-4412
Phone number: 770-834-7436
Mailing Address
KATHLEEN SOPHIA MELOY LANE
812 S PARK ST STE 1
CARROLLTON, GA 30117-4412
Phone number: