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Individual

BETHANY JADE JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
890 SCRANTON RD, BRUNSWICK, GA 31525-6618
(281) 832-4022
Mailing address
12 PORT RICHEY WAY, BRUNSWICK, GA 31523-8271
(281) 832-4022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
GA

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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