Individual
JANEE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 GRENOBLE RD, PEACHTREE CITY, GA 30269-1514
(248) 707-4467
Mailing address
133 GRENOBLE RD, PEACHTREE CITY, GA 30269-1514
(248) 707-4467
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001920
GA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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