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Individual

CHUKWUMA JORDAN OKAFOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
3201 WINDCLIFF DR SE, MARIETTA, GA 30067-3814
(931) 494-7920
Mailing address
3201 WINDCLIFF DR SE, MARIETTA, GA 30067-3814
(931) 494-7920

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002628
GA

Other

Enumeration date
08/11/2020
Last updated
08/11/2020
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