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Individual

JAKE PARHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1275 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4538
(770) 460-8609
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225XH1200X
Hand Occupational Therapist
Primary
OT008793
GA
225XP0200X
Pediatric Occupational Therapist
OT008793
GA

Other

Enumeration date
01/02/2020
Last updated
06/30/2025
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