JEAN DAVISON

DACULA, GA
NPI1316010168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT000403)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- JEAN DAVISON OTL
976 REDSTONE RD
DACULA, GA 30019-7415
Phone number: 770-995-2345
Mailing Address
-- JEAN DAVISON OTL
976 REDSTONE RD
DACULA, GA 30019-7415
Phone number: 770-995-2345
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