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NPI Code Detail

MEDICARE: KRISTIN GARNCARZ

MEDICARE:   KRISTIN  GARNCARZ
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 : 1558096206
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN GARNCARZ
Provider Business Mailing Address
First Line : 406 ARISTIDES WAY
Second Line :
City : CANTON
State : GA
Zip : 30115-2033
Country : US
Telephone Number : 262-376-7606
Fax Number :
Provider Business Practice Location Address
First Line : 406 ARISTIDES WAY
Second Line :
City : CANTON
State : GA
Zip : 30115-2033
Country : US
Telephone Number : 262-376-7606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2022
Last Update Date : 07/18/2022

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Directions to “ KRISTIN GARNCARZ ” Practice Location

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