Individual
JACQUELINE PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
124 ISLAND PROFESSIONAL PARK, ST SIMONS IS, GA 31522-2879
(912) 638-1444
(912) 638-0077
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002618
GA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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