Individual
MS. JAMIE SHUMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1309 CALDERWOOD CT SE, SMYRNA, GA 30080-3950
(508) 527-7949
Mailing address
1309 CALDERWOOD CT SE, SMYRNA, GA 30080-3950
(508) 527-7949
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004142
GA
Other
Enumeration date
04/05/2010
Last updated
01/13/2013
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