Individual
CARLY JUNKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA003959
Contact information
Practice address
125 TOWNPARK DR NW STE 300, KENNESAW, GA 30144-5812
(855) 423-6287
(678) 669-1562
Mailing address
125 TOWNPARK DR NW STE 300, KENNESAW, GA 30144-5812
(855) 423-6287
(678) 669-1562
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003959
GA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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