Individual
JACQUELINE ROELOFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
141 SAMS ST STE A, DECATUR, GA 30030-4101
(404) 296-8511
(404) 296-8514
Mailing address
141 SAMS ST STE A, DECATUR, GA 30030-4101
(404) 296-8511
(404) 296-8514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014610
GA
Other
Enumeration date
11/02/2020
Last updated
07/15/2021
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