Individual
MRS. JACLYN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8592 ROSWELL RD, SANDY SPRINGS, GA 30350-1865
(770) 552-3000
Mailing address
4050 AZURITE ST, CUMMING, GA 30040-0481
(239) 405-1514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012554
GA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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