Organization
GUIDED MOTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANN ALLYN JENNELLE PT, LMT (OWNER)
(678) 431-7096
Entity
Organization
Contact information
Practice address
102 RUSSELL RD, ROSWELL, GA 30075-1147
(678) 431-7096
(678) 348-7334
Mailing address
125 W LAKE DR, ROSWELL, GA 30075-1140
(678) 431-7096
(678) 348-7334
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MT003325
GA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT008547
GA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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