Individual
MRS. BRENDA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2155 W PARK CT, SUITE G, STONE MOUNTAIN, GA 30087-3500
(770) 465-5084
(770) 465-5304
Mailing address
2712 MOORINGS PKWY, SNELLVILLE, GA 30039-8515
(770) 736-5637
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001665
GA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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