Individual
MR. JOSEPH SMITH EASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
2001 S LEE ST, AMERICUS, GA 31709-4715
(229) 931-5901
(229) 931-5901
Mailing address
200 MALLON RD, AMERICUS, GA 31719-2166
(229) 938-2667
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
120
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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