Individual
JOVANNA ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6002 PROFESSIONAL PKWY STE 140, DOUGLASVILLE, GA 30134-5603
(850) 512-0046
Mailing address
8873 N CORTONA CIR, CORDOVA, TN 38018-6978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013703
GA
Other
Enumeration date
04/06/2015
Last updated
03/11/2019
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