| NPI | 1689348658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RAE JACKSON Owner And Occupational Therapist 770-634-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |