Individual
MS. JESSICA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2011 LUMPKIN RD # GA, AUGUSTA, GA 30906-3547
(609) 694-0150
Mailing address
4361 FAIRBLUFF RD, HEPHZIBAH, GA 30815-4510
(609) 694-0150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2463
SC
2255A2300X
Athletic Trainer
Primary
AT003008
GA
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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