Individual
JESSICA MARIE BOYNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
765 MORNING CREEK LN, SUWANEE, GA 30024-7053
(770) 856-3440
Mailing address
765 MORNING CREEK LN, SUWANEE, GA 30024-7053
(770) 375-7169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
001373
GA
225XP0200X
Pediatric Occupational Therapist
Primary
001373
GA
Other
Enumeration date
01/23/2016
Last updated
01/23/2016
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