Individual
MRS. JESSICA LIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1375 WEBB GIN HOUSE RD, LAWRENCEVILLE, GA 30045-5440
(770) 978-1725
Mailing address
1375 WEBB GIN HOUSE RD, LAWRENCEVILLE, GA 30045-5440
(770) 978-1725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004183
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247579643A
—
GA
Enumeration date
06/01/2007
Last updated
10/12/2012
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