Individual
MOLEIK JAHAUD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
1995 N PARK PL SE STE 410, ATLANTA, GA 30339-2072
(770) 850-0390
Mailing address
6759 TRAIL SIDE DR, FLOWERY BRANCH, GA 30542-5195
(334) 868-3878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009219
GA
Other
Enumeration date
07/08/2024
Last updated
07/11/2024
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