Individual
JAYLEN DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4555 N SHALLOWFORD RD STE 112, DUNWOODY, GA 30338-6403
(404) 778-6031
(404) 778-6034
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
(877) 719-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061850085
DRIVERS LICENSE
GA
Enumeration date
01/23/2023
Last updated
01/24/2023
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