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Contact Information

SIKITHEA ZACKERY, OTRL
84 LAKESHORE PARKWAY
NEWNAN, GA30263
 Phone: 678-836-3083
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SIKITHEA ZACKERY · (Female)

NPI Number 1700928702
Status Active
Credentials OTRL
Entity Individual
Enumeration date 02/13/2007
Last updated 03/18/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # OT004099
  • GA Medicaid 697269071B
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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