Individual
JILLIAN O'MELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1071 THOMAS AVE, WATKINSVILLE, GA 30677-6073
(770) 207-6390
Mailing address
1071 THOMAS AVE, WATKINSVILLE, GA 30677-6073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006896
GA
Other
Enumeration date
11/28/2017
Last updated
03/17/2018
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