Individual
JESSICA LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3051 WATSON BLVD, WARNER ROBINS, GA 31093-8536
(478) 971-2235
Mailing address
6687 SKIPPER RD APT 1227, MACON, GA 31216-6492
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002679
GA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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