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Individual

MRS. JAMIE LYNN NASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
165 RIDGECREST CIR, CLAYTON, GA 30525-4196
(678) 357-5849
Mailing address
6232 RIVER PLANTATION DR, LULA, GA 30554-2382
(916) 289-7854

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007271
GA

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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