Individual
MS. JILL MICHELLE HANSEN KEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DSC
Contact information
Practice address
345 RIDGE CT, ROSWELL, GA 30076-2620
(770) 641-9239
(866) 813-0830
Mailing address
4190 DUNWOODY TER, ATLANTA, GA 30341-1054
(678) 427-7060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00856952B
—
GA
Enumeration date
12/11/2006
Last updated
05/20/2021
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