KIMBERLY S LOGUE

MARTINEZ, GA
NPI1487719159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT000986)
Enumeration Date2006-12-23
Last Update Date2007-07-09
Business Address
-- KIMBERLY S LOGUE OTRL
3737 ROSCOMMON N
MARTINEZ, GA 30907-4741
Phone number: 706-860-9996
Mailing Address
-- KIMBERLY S LOGUE OTRL
1254 LOUISVILLE RD
HARLEM, GA 30814-4215
Phone number: 706-860-9996
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