Individual
JENNIFER PAIGE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5835 CAMPBELLTON RD SW, 304, ATLANTA, GA 30331-8014
(678) 755-9405
Mailing address
12195 MAGNOLIA CRESCENT DR, ROSWELL, GA 30075-7184
(404) 797-7240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1005
GA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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