Individual
MRS. JAMIE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4467 DUNMOVIN DR NW, KENNESAW, GA 30144-1316
(770) 595-7421
Mailing address
4467 DUNMOVIN DR NW, KENNESAW, GA 30144-1316
(770) 595-7421
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA001496
GA
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary
OTA001496
GA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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