Individual
JOLIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
Mailing address
830 HARTFORD PL SW, ATLANTA, GA 30310-4229
(509) 671-7428
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008412
GA
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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