Individual
JANIE M OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6024
(912) 375-7009
(912) 375-7055
Mailing address
730 HAWTHORNE RD, DUBLIN, GA 31021-9334
(478) 278-9260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000985
GA
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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