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Individual

MRS. GEORGIA ANN JEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4801 SPRINGFIELD ST, DAYTON, OH 45431-1084
(937) 236-9965
(937) 233-0161
Mailing address
3251 W JACKSON RD, SPRINGFIELD, OH 45502-7929
(937) 717-8671

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 001552
OH

Other

Enumeration date
08/27/2010
Last updated
03/07/2014
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