Individual
JAMIE NICHOLE BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7311
Mailing address
728 WEEPING WILLOW DR, ATHENS, GA 30605-7076
(706) 227-2011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003413
GA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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