Individual
MRS. JILL SUSAN FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
4145 COOSA DR, CUMMING, GA 30040-5386
(770) 289-2035
Mailing address
4145 COOSA DR, CUMMING, GA 30040-5386
(770) 289-2035
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003811
GA
Other
Enumeration date
10/09/2006
Last updated
07/08/2007
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