Individual
JORDAN TAYLOR BENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
670 DEKALB AVE SE UNIT 1407, ATLANTA, GA 30312-2028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009231
GA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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