Provider Demographics
NPI:1114746096
Name:TOMASOSKI, KALI ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KALI
Middle Name:ANN
Last Name:TOMASOSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:KALI
Other - Middle Name:ANN
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 HOLLY LAKES DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-0488
Mailing Address - Country:US
Mailing Address - Phone:912-282-0809
Mailing Address - Fax:
Practice Address - Street 1:1170 PEACHTREE ST NE FL 17
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-7649
Practice Address - Country:US
Practice Address - Phone:404-525-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT008866225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist