Individual
JENNA MICHELLE PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
Mailing address
2339 MEDLOCK LN, DECATUR, GA 30033-5200
(678) 315-9516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008058
GA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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