Individual
ALIX JAMPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
808 GREENWOOD AVE NE APT 107, ATLANTA, GA 30306-3747
(678) 520-7649
Mailing address
808 GREENWOOD AVE NE APT 107, ATLANTA, GA 30306-3747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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