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JENNIFER ROBERTS BAILEY COTA/L
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1396327078
Individual Registrant: JENNIFER ROBERTS BAILEY COTA/L
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
6183 LAKE LANIER HEIGHTS RD BUFORD, GA 30518-1341 US
Tel: 770-912-3971 Fax: --
Tel: 770-912-3971 Fax: --
Contact information for business:
6183 LAKE LANIER HEIGHTS RD BUFORD, GA 30518-1341 US
Tel: 770-912-3971 Fax: --
Tel: 770-912-3971 Fax: --
Registration Information:
NPI: 1396327078
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | GA | OTA001989 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
