Individual
JENNIFER HOLLAND FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4043 HIDDEN HOLLOW TER APT A, GAINESVILLE, GA 30506-4636
(678) 617-0168
Mailing address
4043 HIDDEN HOLLOW TER APT A, GAINESVILLE, GA 30506-4636
(678) 617-0168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003672
GA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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