Individual
JASMINE MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2759 MOUNT ZION PKWY, JONESBORO, GA 30236-2568
(678) 545-6745
Mailing address
2759 MOUNT ZION PKWY, JONESBORO, GA 30236-2568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
417214
GA
Other
Enumeration date
04/24/2019
Last updated
06/02/2019
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