Individual
JASMINE TIERA MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
650 S CENTRAL AVE UNIT 82581, ATLANTA, GA 30354-2098
(251) 533-8278
Mailing address
650 S CENTRAL AVE UNIT 82581, ATLANTA, GA 30354-2098
(251) 533-8278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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