Individual
JENNIFER BLAIR MCMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2089 TERON TRACE, SUITE 120, DACULA, GA 30019
(770) 904-6009
(770) 904-2357
Mailing address
2089 TERON TRACE, SUITE 120, DACULA, GA 30019
(770) 904-6009
(770) 904-2357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010117
GA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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