Individual
JESSICA SARA KALLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9390 THE LANDING DR # 201, DOUGLASVILLE, GA 30135-7180
(770) 852-1692
Mailing address
280 SAINT DEVON XING, JOHNS CREEK, GA 30097-8067
(770) 286-8642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017330
GA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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