Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 005781 | GA |
NPI | 1033547880 |
---|---|
Provider Name | Mrs. Jennifer Linington |
First Address | Buford, GA 30519-5504 |
Second Address | Buford, GA 30518-1742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2013 |
Last Update Date | 10/09/2021 |