Individual
JENNIFER ROBERTS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6183 LAKE LANIER HEIGHTS RD, BUFORD, GA 30518-1341
(770) 912-3971
Mailing address
6183 LAKE LANIER HEIGHTS RD, BUFORD, GA 30518-1341
(770) 912-3971
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001989
GA
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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