Kristen Lark
Occupational Therapist - Pediatrics
1305 Jennings Mill Rd
Watkinsville
, Georgia 30677-7238
Kristen Lark
Occupational Therapist - Pediatrics
1305 Jennings Mill Rd
Watkinsville
, Georgia 30677-7238
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Kristen Lark
- 921 Downing Dr
- Bethlehem, GA
- Zip : 30620-2053
- Phone :
Second Address
- Kristen Lark
- 1305 Jennings Mill Rd
- Watkinsville, GA
- Zip : 30677-7238
- Phone : (706) 552-1920
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OT006878 | GA |
National Provider Identifier
| NPI | 1043723240 |
|---|---|
| Provider Name | Kristen Lark |
| First Address | Bethlehem, GA 30620-2053 |
| Second Address | Watkinsville, GA 30677-7238 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.