Individual
MR. JORDAN DAVID GALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4754 MARTIN RD STE 200, FLOWERY BRANCH, GA 30542-3507
(770) 967-4377
(770) 967-8077
Mailing address
4754 MARTIN RD STE 200, FLOWERY BRANCH, GA 30542-3507
(770) 967-4377
(770) 967-8077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003970
GA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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