Individual
MARY JOCELYNNE SERAJOSE TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1316 WENDELL LN, GROVETOWN, GA 30813-5279
(706) 860-7974
Mailing address
1316 WENDELL LN, GROVETOWN, GA 30813-5279
(706) 860-7974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004899
GA
225100000X
Physical Therapist
2677
SC
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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