Individual
JENNA LEE PEIXOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2100 ROSWELL RD STE 2124, MARIETTA, GA 30062-0874
(678) 402-6355
(678) 403-1578
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014786
GA
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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