Individual
JESSICA RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4500 SATELLITE BLVD., SUITE 2250, DULUTH, GA 30096
(800) 381-2195
Mailing address
197 TUSQUITTEE LAUREL DRIVE, HAYESVILLE, NC 28904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006590
GA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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