Individual
JESSICA LAURETTE SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
1935 CLIFF VALLEY WAY NE, SUITE 119, ATLANTA, GA 30329-2435
(404) 234-4719
Mailing address
1430 SHERIDAN WALK NE, ATLANTA, GA 30324-3255
(404) 234-4719
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005223
GA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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