Individual
JASMIN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
128 COTTONWOOD TRL, JACKSON, GA 30233-3912
(770) 377-1308
Mailing address
128 COTTONWOOD TRL, JACKSON, GA 30233-3912
(770) 377-1308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002142
GA
224Z00000X
Occupational Therapy Assistant
12748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002142
GA OTA LICENSE
GA
01
—
12748
FL OTA LISCENSE
FL
01
—
212405
TX OTA LICENSE
TX
Enumeration date
11/20/2015
Last updated
04/30/2018
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