Jamie Sue Allen, OTR/L
Individual provider Active NPI Occupational Therapist · Dacula, GA
NPI 1225313588 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1225313588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3326 (AL)
- Practice address
- 3615 Braselton Hwy Ste 103
Dacula, GA 30019-5907 - Phone
- (678) 377-9634
- Fax
- (678) 377-9609
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3326 | AL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3326 | AL | Yes |
Addresses
Primary practice location
3615 Braselton Hwy Ste 103
Dacula, GA 30019-5907
Mailing address
3615 Braselton Hwy Ste 103
Dacula, GA 30019-5907
Phone (678) 377-9634
Other providers in Dacula, GA
- Vivian Chioma Akabueze
- Adenike Alaga
- Alan P. Gerber MD, Inc
- All Kids Physical Therapy Inc
- Claudette Allen
- Alliance Prosthetics and Orthotics
- Alpha Omega Staffing, LLC
- Martha R Alvarado
- Ama Browne LLC
- Amity Home Care LLC
All providers in Dacula, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.