Individual
JACLYN CRYSTAL SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25 GLENLAKE PKWY, SANDY SPRINGS, GA 30328-3403
(678) 619-0418
Mailing address
1256 MINHINETTE DR, ROSWELL, GA 30075-3663
(404) 734-9628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
03776
GA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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