Individual
LYNETTE JEANELL WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
285 SUMMERLIN BLVD, NEWNAN, GA 30265-6299
(678) 990-8918
Mailing address
200 EMBER CT, FAIRBURN, GA 30213-1169
(609) 320-0565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016813
GA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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