Individual
JONATHON HASKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
Mailing address
833 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30043-4821
(833) 628-8476
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0004684
CO
225X00000X
Occupational Therapist
Primary
OT0009733
GA
225XP0200X
Pediatric Occupational Therapist
5201013385
MI
Other
Enumeration date
07/06/2016
Last updated
05/12/2026
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