Individual
EMILY JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 OLD SALEM RD, GREENSBORO, GA 30642-6476
(706) 690-3932
Mailing address
1321 ROYAL OAK ST, GROVETOWN, GA 30813-3982
(218) 731-7670
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
05/24/2023
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