Individual
MR. JACOB EDWARD PAQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1819 PEACHTREE RD NE STE 550, ATLANTA, GA 30309-1882
(770) 892-0300
Mailing address
2535 JAGUAR ST, CUMMING, GA 30041-5264
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT007185
GA
Other
Enumeration date
02/07/2019
Last updated
05/28/2024
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