Individual
MS. HATINAWEDU TINA JAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,MPH,CHT
Contact information
Practice address
3968 FELTON HILL RD SW, SUITE 220, SMYRNA, GA 30082-3506
(678) 214-6960
(678) 214-6961
Mailing address
3968 FELTON HILL RD SW, SUITE 220, SMYRNA, GA 30082-3506
(678) 214-6960
(678) 214-6961
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002372
GA
225XH1200X
Hand Occupational Therapist
1021100256
GA
Other
Enumeration date
04/22/2009
Last updated
11/22/2011
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