Individual
JENNA WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
2450 ATLANTA HWY STE 701, CUMMING, GA 30040-1255
(404) 834-8404
Mailing address
2450 ATLANTA HWY STE 701, CUMMING, GA 30040-1255
(404) 834-8404
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT014540
GA
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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