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Individual

JENNIFER C. DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
RT. 3 BOX 2110 COUNTRY CLUB RD., COCHRAN, GA 31014
(478) 934-6428
Mailing address
RT. 3 BOX 2110 COUNTRY CLUB RD., COCHRAN, GA 31014
(478) 934-6428

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 10286
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA090926
GA

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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