Individual
JESSICA LINSEY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 BOULEVARD SQ STE F, WAYCROSS, GA 31501-8022
(912) 342-8875
(912) 342-8016
Mailing address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 342-8875
(912) 342-8016
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005326
GA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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