Organization
JELLYBEAN PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BOWEN (OFFICE MANAGER)
(615) 400-2777
Entity
Organization
Contact information
Practice address
1716 CATHERINE CT STE 2A, AUBURN, AL 36830-5735
(334) 610-0169
(334) 591-2678
Mailing address
717 DINGO DR, OPELIKA, AL 36804-4507
(615) 400-2777
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
11/08/2023
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