Most Relevant Information
Provider Data
| NPI Number: | 1003580143 |
| Provider Name: | CAROLINE ELIZABETH HOMER OT R/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT008120 |
Most Important Dates
| Enumeration Date: | 08/03/2021 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
4962 FALCON WOOD CT
MARIETTA
GA
300661283
Practice Location Phone/Fax
| Phone: | 4046170428 |
| Fax: |
Provider Mailing Location
4962 FALCON WOOD CT
MARIETTA
GA
300661283
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |