Individual
MRS. JAYME MICHELLE MANCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
(706) 660-5495
(706) 660-5497
Mailing address
8461 CHAFFEE ST, FORT BENNING, GA 31905-7045
(915) 202-3114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005678
GA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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