Individual
JACQUELINE WYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
810 RILEY ESTATES DR, LITHIA SPRINGS, GA 30122-2194
(404) 487-8391
(770) 819-7907
Mailing address
810 RILEY ESTATES DR, LITHIA SPRINGS, GA 30122-2194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002648
GA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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