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Individual

JEFFREY HENKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
306 KINGS CHAPEL RD, AUGUSTA, GA 30907-3732

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008137
GA

Other

Enumeration date
09/29/2021
Last updated
09/29/2021
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