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Organization

EMPOWER THERAPY SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMANDA RAE JACKSON OTR/L (OWNER AND OCCUPATIONAL THERAPIST)
(770) 634-8410
Entity
Organization

Contact information

Practice address
5305 RESERVE DR NE, BROOKHAVEN, GA 30319-5924
(770) 634-8410
Mailing address
5305 RESERVE DR NE, BROOKHAVEN, GA 30319-5924
(770) 634-8410

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/04/2021
Last updated
08/04/2021
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