Individual
JESSIKA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(678) 377-2833
Mailing address
3929 WOODWARD MILL RD, BUFORD, GA 30518-5024
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT014181
GA
Other
Enumeration date
08/07/2019
Last updated
06/02/2023
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