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Contact Information

KYANNA D GROOMS, OTR
3007 PANOLA RD STE C
LITHONIA, GA30038
 Phone: 770-987-1122
 Fax: 770-987-1149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KYANNA D GROOMS · (Female)

NPI Number 1578017844
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 08/04/2016
Last updated 01/20/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # OT006502
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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