Ligon, Jessica

Ligon, Jessica is an sole proprietor health care provider with primary practice located at 1375 Webb Gin House Rd , Lawrenceville GA 30045-5440. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ligon, Jessica can be contacted via phone (770) 978-1725.

Contact Information

Primary practice address
1375 Webb Gin House Rd Lawrenceville GA 30045-5440
Phone: (770) 978-1725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT004183 Georgia

Profile Details

NPI number 1932301199
LBN Legal business name Ligon, Jessica
Credentials OTR L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Oct 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932301199 NPPES
Georgia MEDICAID 247579643A

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