Individual
MRS. JENNIFER VANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
78 OPAL ST, CARTERSVILLE, GA 30120-2848
(770) 382-6120
Mailing address
13 OVERLOOK CIR, EUHARLEE, GA 30145-2884
(678) 463-2810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000964
GA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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