Individual
MRS. JEANETTE LONG WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3645 GENTIAN BLVD, SUITE 1, COLUMBUS, GA 31907-5687
(706) 507-4433
(706) 507-4463
Mailing address
8028 GLEN VALLEY DR, MIDLAND, GA 31820-4346
(706) 565-6553
(706) 565-6553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002504
GA
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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