Individual
JEAN MARKLEY SEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
1000 HOLCOMB WOODS PKWY, STE426, ROSWELL, GA 30076-2575
(770) 851-9553
(770) 698-4178
Mailing address
3876 MENLO DR, ATLANTA, GA 30340-5116
(770) 842-6328
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT002505
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985589
BCBS
GA
Enumeration date
12/22/2006
Last updated
07/08/2007
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