Individual
JANNA HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 STILESBORO RD NW, SUITE 430, KENNESAW, GA 30152-7744
(770) 218-2300
Mailing address
4641 KINGS CROSSING DR NE, KENNESAW, GA 30144-1652
(770) 218-2300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006026
GA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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