Individual
JACQUELINE ERICKSON BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1431 WHITE CIR, SUITE C, MARIETTA, GA 30066-5801
(770) 426-9945
(770) 426-0641
Mailing address
993 CHESTERFIELD PL NW, MARIETTA, GA 30064-5434
(678) 290-3944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4895
GA
Other
Enumeration date
09/23/2009
Last updated
01/13/2010
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