Individual
MR. LEOCHARLSON JEAN-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
335 UPPER RIVERDALE RD, SUITE B-10, JONESBORO, GA 30236-1099
(770) 907-5743
Mailing address
335 UPPER RIVERDALE RD, SUITE B-10, JONESBORO, GA 30236-1099
(770) 907-5743
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT005869
GA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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