Individual
JESICA ADCOCK CHANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
1765 OLD WEST BROAD ST, ATHENS, GA 30606-2853
(706) 549-1663
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST, BLDG 2, STE 200, ATHENS, GA 30606-2853
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005170
GA
Other
Enumeration date
10/28/2010
Last updated
08/29/2016
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