Individual
JENNIFER S DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL, CHT
Contact information
Practice address
2230 TOWNE LAKE PKWY BLDG 1200-100, WOODSTOCK, GA 30189-5581
(770) 926-2744
(770) 926-2794
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT002961
GA
Other
Enumeration date
06/19/2007
Last updated
04/30/2015
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