Individual
JACOB RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 WINN WAY STE 250, DECATUR, GA 30030-1751
(404) 294-1313
Mailing address
495 WINN WAY STE 250, DECATUR, GA 30030-1751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013508
GA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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