Individual
MADISON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2089 TERON TRCE STE 120, DACULA, GA 30019-1609
(770) 904-6009
Mailing address
2089 TERON TRCE STE 120, DACULA, GA 30019-1609
(770) 904-6009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007555
GA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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