Individual
JESSICA SUSANNE EADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
(678) 377-2882
Mailing address
1216 WESLEY ST, OXFORD, GA 30054-2246
(404) 915-6923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008731
GA
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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