Individual
DEANDREA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PEACHTREE DR, SAVANNAH, GA 31419-1200
(912) 927-0500
Mailing address
45 CHESTNUT OAK DR, RICHMOND HILL, GA 31324-5679
(803) 237-6672
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003450
GA
Other
Enumeration date
06/02/2015
Last updated
07/21/2022
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