Individual
KELLY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
408 HUNTS LANDING DR, KATHLEEN, GA 31047-4128
(478) 508-3596
Mailing address
408 HUNTS LANDING DR, KATHLEEN, GA 31047-4128
(478) 508-3596
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001675
GA
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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