Individual
JADE ELISE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
(678) 833-6833
(770) 517-5513
Mailing address
2734 ESQUIRE WAY, TUCKER, GA 30084-2815
(678) 833-6833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005424
GA
Other
Enumeration date
03/07/2012
Last updated
10/11/2023
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