Individual
JOVETA CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
575 PROFESSIONAL DR STE 370, LAWRENCEVILLE, GA 30046-3334
(678) 205-5420
(678) 205-5462
Mailing address
2400 WISTERIA DR STE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016124
GA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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