JENNIFER BLACKSTONE

STONE MOUNTAIN, GA
NPI1669400917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT003198)
Enumeration Date2006-06-28
Last Update Date2007-07-08
Business Address
Mrs. JENNIFER BLACKSTONE OTR/L
2155 W PARK CT SUITE G/ H
STONE MOUNTAIN, GA 30087-3500
Phone number: 770-465-5084
Mailing Address
Mrs. JENNIFER BLACKSTONE OTR/L
2155 W PARK CT SUITE G/ H
STONE MOUNTAIN, GA 30087-3500
Phone number: 770-465-5084