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JENNIFER LYNN ANDERSON

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114368685

Individual Registrant:
 JENNIFER LYNN ANDERSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3716 GATEWAY AVE  ALBANY, GA 31721-9247 US
Tel: 404-821-6757  Fax: --

Contact information for business:
3716 GATEWAY AVE  ALBANY, GA 31721-9247 US
Tel: --  Fax: --

Registration Information:
NPI: 1114368685
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
GAOTA001028

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OCCUPATIONAL THERAPY ASSISTANT LICENSEOTA001028GA01




HEALTH CARE JOBS GA - Page 1



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