Individual
MR. JUSTIN LEE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
166 OAKLAND PKWY, LEESBURG, GA 31763-7200
(229) 495-6079
Mailing address
166 OAKLAND PKWY, LEESBURG, GA 31763-7200
(229) 495-6079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
GA
Other
Enumeration date
06/10/2013
Last updated
03/29/2019
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