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Contact Information

JAKE PARHAM, OTR/L
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA30214-4538
 Phone: 770-460-8609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Behavior Technician

106S00000X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JAKE PARHAM · (Male)

NPI Number 1790324101
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 01/02/2020
Last updated 06/30/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • GA License # OT008793
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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