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Contact Information

LEOCHARLSON JEAN LOUIS, OTR/L
335 UPPER RIVERDALE RD
SUITE B-10
JONESBORO, GA30236-1099
 Phone: 770-907-5743
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LEOCHARLSON JEAN LOUIS · (Male)

NPI # 1184049306
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 02/25/2014
Last updated 02/25/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # OT005869
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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