JAMIE LEE GLAZE

FAYETTEVILLE, GA
NPI1124301775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT005309)
Enumeration Date2011-09-20
Last Update Date2014-07-18
Business Address
JAMIE LEE GLAZE OTR/L
290 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214-1560
Phone number: 770-460-0165
Mailing Address
JAMIE LEE GLAZE OTR/L
290 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214-1560
Phone number: 770-460-0165
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