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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM MICHELE WYRWA, PTA

Active Sole Proprietor

KIM MICHELE WYRWA, PTA is a Occupational Therapist healthcare provider located in DACULA, Georgia. NPI 1023213857 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · DACULA, GA

Registration Details

NPI Number
1023213857
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2007 (19.108974843199 yrs)
Last Updated
Jul 8, 2007
License
001703 (GA)
Sole Proprietor
Yes

Practice Information

Address
3615 BRASELTON HWY
STE. 101
DACULA, GA, 300195906
Browse GA providers · Browse ZIP 30019
Phone
7709040772
Fax
7709040774
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in DACULA, GA

Name Credential NPI
MISS SHEENA ASHLEY WHITMIRE PTA 1639488729
ANDREA ESTHER HILL PTA 1649792375
ALEXANDDRA VERONICA ADAMS PTA 1255833752
MRS. MAI SUE GOBERT 1770045841
MACKENSON LAFORTUNE 1780228171
JUSTIN LEE SORENSEN PTA 1538846829
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.