Individual
JASMINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7288
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009439
GA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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