Individual
JENA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4055 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024-1299
(770) 888-5221
Mailing address
1657 ANGELICA CT, LAWRENCEVILLE, GA 30043-7142
(770) 298-7250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007806
GA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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