Individual
JAZMIN GRISELDA ROGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4286 BELLS FERRY RD NW STE 210, KENNESAW, GA 30144-1302
(678) 401-7401
Mailing address
2550 AKERS MILL RD SE APT A20, ATLANTA, GA 30339-3272
(770) 298-0367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008713
GA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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