Individual
JENNIFER SMILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
965 PIEDMONT RD NE STE 200, MARIETTA, GA 30066-5493
(770) 575-2212
(770) 575-2547
Mailing address
500 LANIER AVE W STE 303, FAYETTEVILLE, GA 30214-7636
(770) 716-8885
(770) 716-7425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004997
GA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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