Individual
JASON PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5041 DALLAS HWY, BLDG 100, STE C, POWDER SPRINGS, GA 30127-6458
(770) 425-2152
Mailing address
207 POSTELL RD, DALLAS, GA 30157-7041
(678) 736-1925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003577
GA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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