Individual
JAZMINE JOY-ANN THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2385 LAWRENCEVILLE HWY SUITE B, DECATUR, GA 30033-8895
(404) 289-4270
Mailing address
1400 MORGAN STANLEY AVE UNIT 433, WINTER PARK, FL 32789-1990
(516) 782-9905
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
21957
FL
Other
Enumeration date
06/03/2021
Last updated
05/08/2023
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