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Individual

MRS. JENNIFER WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
502 WILLIAMSBURG DR, DALTON, GA 30720-8144
(404) 247-5815
Mailing address
502 WILLIAMSBURG DR, DALTON, GA 30720-8144
(404) 247-5815

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003261
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT003261
OCCUPATIONAL THERAPIST
GA
Enumeration date
10/19/2011
Last updated
10/19/2011
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