Individual
JENNIFER MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
580 TOMMY LEE FULLER DR, LOGANVILLE, GA 30052-3943
(678) 436-5350
Mailing address
580 TOMMY LEE FULLER DR, LOGANVILLE, GA 30052-3943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001071
GA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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