Individual
SIERRA JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 PANTHER DR, JEFFERSON, GA 30549-5400
(706) 367-1141
Mailing address
510 PANTHER DR, JEFFERSON, GA 30549-5400
(706) 367-1141
(702) 932-0206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009147
GA
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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