Individual
MRS. PATRICIA HENSON HERZOG-JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OT/L
Contact information
Practice address
177 N MILL CT NW, SANDY SPRINGS, GA 30328-1833
(404) 843-2063
Mailing address
177 N MILL CT NW, SANDY SPRINGS, GA 30328-1833
(404) 843-2063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000324
GA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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