Individual
JILL DENISE SUTKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11350 WOODSTOCK RD, ROSWELL, GA 30075-7541
(770) 645-2340
Mailing address
115 PASIFINO PL, ROSWELL, GA 30075-2878
(678) 266-8939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009254
GA
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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