Individual
MS. JACQUELINE A GROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2155 W PARK CT, SUITE G, STONE MOUNTAIN, GA 30087-3500
(770) 465-5084
(770) 465-5304
Mailing address
1528 BRETON HUNT LN, SUWANEE, GA 30024-3874
(678) 482-6040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003908
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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