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Madison Jones, OTR/L

Occupational Therapist in Dacula, GA. Individual provider (NPI-1).

NPI number1962045005
StatusActive
Last updated in NPPESOct 22, 2019

Details

NPI
1962045005
Entity type
Individual (NPI-1)
Name
Madison Jones
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Oct 22, 2019
Last updated
Oct 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT007555GAYes

Practice location

2089 Teron Trce Ste 120
Dacula, GA 30019-1609

Phone 770-904-6009

Mailing address

2089 Teron Trce Ste 120
Dacula, GA 30019-1609

Phone 770-904-6009

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