Individual
LISSETTE VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 MCDONOUGH RD, JACKSON, GA 30233-1522
(386) 214-1809
Mailing address
922 MCDONOUGH RD, JACKSON, GA 30233-1522
(386) 214-1809
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002035
GA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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