Individual
GEORGIANA OGLETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3694
MS
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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