Individual
JENNIFER LAUREN MIGLIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1000 MEDICAL CENTER BLVD, SPORTS MEDICINE AND REHAB CTR, LAWRENCEVILLE, GA 30045-7694
(678) 312-2803
(770) 682-2236
Mailing address
500 MEDICAL CENTER BLVD, SPORTS MEDICINE AND REHAB CTR, LAWRENCEVILLE, GA 30045-8708
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003229
GA
Other
Enumeration date
12/26/2006
Last updated
07/16/2007
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