Individual
JENNIFER ST JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3950 COBB PKWY NW, SUITE 103, ACWORTH, GA 30101-9532
(770) 917-0924
(770) 917-0926
Mailing address
PO BOX 242278, MONTGOMERY, AL 36124-2278
(334) 396-2110
(334) 396-2115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006882
GA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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