Individual
JILL A SIOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1821 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-4582
Mailing address
2264 SANFORD RD, DECATUR, GA 30033-5525
(404) 543-7045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004210
GA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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