Individual
JENNIFER JEAN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
159 SUNSET DR, STE 102, DAHLONEGA, GA 30597-9998
(706) 482-2268
(706) 482-2294
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05009268A
IN
225100000X
Physical Therapist
Primary
PT009249
GA
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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