Individual
YOLANDA TRENETT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 EMBASSY ROW, SUITE 125, ATLANTA, GA 30328-1667
(770) 225-8421
(866) 587-9993
Mailing address
4201 WEEMS RD, COLUMBUS, GA 31909-3279
(706) 905-9256
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002327
GA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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