Provider Demographics
NPI:1578241923
Name:CURRY, JASMINE (COTA)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WATSON DR
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:GA
Mailing Address - Zip Code:30646-6943
Mailing Address - Country:US
Mailing Address - Phone:706-206-1007
Mailing Address - Fax:
Practice Address - Street 1:1291 CEDAR SHOALS DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3509
Practice Address - Country:US
Practice Address - Phone:706-206-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOTA002015224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant