Individual
JESSICA PALPAILIN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7367 SPOUT SPRINGS RD STE 125, FLOWERY BRANCH, GA 30542-5564
(770) 965-1861
Mailing address
2620 N BERKELEY LAKE RD NW APT 323, DULUTH, GA 30096-1431
(413) 992-7167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007605
GA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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