Individual
ERICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 IVEY RD NW, ACWORTH, GA 30101-4001
(770) 917-5737
Mailing address
3134 CHASE CT SW, MARIETTA, GA 30008-5784
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008311
GA
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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