Individual
JESSICA ALLIE MCCULLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 FAIRVIEW PARK DR STE 200, DUBLIN, GA 31021-2567
(478) 304-1414
Mailing address
104 FAIRVIEW PARK DR STE 200, DUBLIN, GA 31021-2567
(478) 304-1414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002452
GA
225X00000X
Occupational Therapist
Primary
OT009776
GA
Other
Enumeration date
05/28/2024
Last updated
02/05/2026
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