Individual
JAYA REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 MAIN ST STE I, STONE MOUNTAIN, GA 30083-3096
(678) 694-8100
(678) 647-7939
Mailing address
913 MAIN ST STE I, STONE MOUNTAIN, GA 30083-3096
(678) 694-8100
(678) 477-9396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003477
GA
Other
Enumeration date
02/11/2019
Last updated
06/24/2021
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