Individual provider · Type 1 NPI

Jade Elise Holloway, OTD, OTR/L

Occupational Therapist · Atlanta, GA

NPI number 1396019402 Active

Practice location

140 Decatur St SE
Atlanta, GA 30303-3204

Call (678) 833-6833 Map

Fax (770) 517-5513

Mailing address

2734 Esquire Way
Tucker, GA 30084-2815

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT005424 (GA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1396019402

Jade Elise Holloway, OTD, OTR/L's National Provider Identifier is 1396019402, issued on Mar 7, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 11, 2023.