Individual
JAMIE HENDERSON VARELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 WEBB GIN HOUSE RD, LAWRENCEVILLE, GA 30045-5440
(770) 736-8293
(770) 972-6574
Mailing address
2442 MERRION PARK CT, DACULA, GA 30019-6556
(770) 900-6017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000494
GA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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