Individual
MRS. JENNIFER F KOVANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1000 HOLCOMB WOODS PKWY STE 422, ROSWELL, GA 30076-4718
(770) 641-8070
(770) 698-4178
Mailing address
700 AMSTER GREEN DR, ATLANTA, GA 30350-4139
(770) 698-9504
(770) 698-4178
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000858844C
—
GA
Enumeration date
11/04/2006
Last updated
06/14/2023
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