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Individual

JESSICA MARIE GRAY FRANKUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7410 SKIDAWAY RD, SAVANNAH, GA 31406-6446
(912) 650-1830
Mailing address
69 BROWN PELICAN DR, SAVANNAH, GA 31419-2954
(912) 547-5752

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003095
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA003095
PTA LISCENCE
GA
Enumeration date
06/07/2021
Last updated
06/07/2021
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