Individual
MICHELE A LUCIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1050 MCDONOUGH RD, JACKSON, GA 30233-1524
(770) 775-7861
Mailing address
1050 MCDONOUGH RD, JACKSON, GA 30233-1524
(770) 775-7861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003011
GA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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