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Individual

MRS. DONISHA D JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA, MPH

Contact information

Practice address
1220 SATELLITE BLVD NW, SUWANEE, GA 30024-3223
(770) 239-6227
Mailing address
1220 SATELLITE BLVD NW, SUWANEE, GA 30024-3223

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000000
UNKNOWN
01
UNKNOWN
UNKNOWN
Enumeration date
09/13/2019
Last updated
09/13/2019
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