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Contact Information

KIMBERLY BRAY, OT
534 OWL CREEK DR
POWDER SPRINGS, GA30127-6285
 Phone: 770-361-4124
 Fax: 678-290-5587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KIMBERLY BRAY · (Female)

NPI Number 1720609100
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 04/27/2020
Last updated 04/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 007188
  • GA License # 007638
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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