Individual
DR. JANET B TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
987 ST. SEBASTIAN WAY, BUILDING EC1304, AUGUSTA, GA 30912
(706) 721-2141
(706) 721-3209
Mailing address
2645 LOUISVILLE RD, APPLING, GA 30802-3604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005179
GA
2251N0400X
Neurology Physical Therapist
PT005179
GA
2251P0200X
Pediatric Physical Therapist
PT005179
GA
Other
Enumeration date
05/24/2007
Last updated
04/05/2024
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