Individual
JAYNA HARISHCHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
536 GRAND SLAM DR STE D, EVANS, GA 30809-8045
(706) 854-8434
Mailing address
337 BOBWHITE TRL, GROVETOWN, GA 30813-5886
(706) 726-7745
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008317
GA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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