Individual
JONATHAN CAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 DAYNA DR, ATLANTA, GA 30349-6701
(203) 550-6379
Mailing address
102 DAYNA DR, ATLANTA, GA 30349-6701
(203) 550-6379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007339
GA
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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