Individual
JENNIE MACLEOD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
500 LANIER AVE W STE 603, FAYETTEVILLE, GA 30214-7644
(678) 884-5085
(864) 574-7664
Mailing address
500 LANIER AVE W STE 603, FAYETTEVILLE, GA 30214-7644
(678) 884-5085
(864) 574-7664
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8617
GA
Other
Enumeration date
10/30/2017
Last updated
12/30/2024
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