Individual
JENNA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1204 HOSPITALITY AVE STE E, KINGSLAND, GA 31548-6811
(912) 996-2069
(912) 265-0041
Mailing address
846 BRAZELL LN, KINGSLAND, GA 31548-6779
(904) 955-1032
(912) 265-0041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTT13091
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT006924
GA
Other
Enumeration date
05/02/2008
Last updated
12/03/2017
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