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Individual

ABBEY JILLIAN MOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
Mailing address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008616
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15555525
CAQH NUMBER
Enumeration date
04/13/2022
Last updated
09/04/2024
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