JEREMY DEWAYNE WINBUSH

TUCKER, GA
NPI1982477014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2023-10-31
Last Update Date2023-10-31
Business Address
JEREMY DEWAYNE WINBUSH COTA
4608 LAWRENCEVILLE HWY
TUCKER, GA 30084-2903
Phone number: 678-519-8555
Mailing Address
JEREMY DEWAYNE WINBUSH COTA
1371 MIDLAWN DR
DECATUR, GA 30032-2841
Phone number: 678-519-8555
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