Individual
JACQUELINE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 S JOHNSON FERRY RD, SANDY SPRINGS, GA 30319-4301
(678) 895-1261
Mailing address
2981 HOLLOW LN, POWDER SPRINGS, GA 30127-1864
(678) 895-1261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002300
GA
Other
Enumeration date
09/20/2018
Last updated
06/28/2026
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