Individual
JENENE KAE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, OTR/L
Contact information
Practice address
415 GROVE RIDGE DR, LOGANVILLE, GA 30052-5613
(770) 595-7728
(770) 277-7976
Mailing address
415 GROVE RIDGE DR, LOGANVILLE, GA 30052-5613
(770) 595-7728
(770) 277-7976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000486
GA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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