Individual
JIMMIE MICHELLE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2450 ATLANTA HWY STE 1001, CUMMING, GA 30040-1252
(404) 834-8404
(678) 807-5733
Mailing address
2450 ATLANTA HWY, STE1001, CUMMING, GA 30041-1224
(404) 834-8404
(678) 807-5733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006335
GA
Other
Enumeration date
02/29/2016
Last updated
03/17/2018
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