Individual
JALESA WRIGHT-PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 LEWISTON RD STE 3, GROVETOWN, GA 30813-4290
(706) 945-0420
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(972) 850-3940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017519
GA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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