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NPI Code Detail

MEDICARE: KORI NUZUM OTR/L

MEDICARE:   KORI  NUZUM  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1083207831
Entity Type Code : Individual
Provider Name (Legal Business Name) : KORI NUZUM OTR/L
Provider Business Mailing Address
First Line : 2048 SANDERLINGS DR NW
Second Line :
City : KENNESAW
State : GA
Zip : 30152-5816
Country : US
Telephone Number : 404-277-1474
Fax Number :
Provider Business Practice Location Address
First Line : 2048 SANDERLINGS DR NW
Second Line :
City : KENNESAW
State : GA
Zip : 30152-5816
Country : US
Telephone Number : 404-277-1474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2021
Last Update Date : 02/25/2026

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Directions to “ KORI NUZUM OTR/L” Practice Location

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