Individual
JARED LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2000 RIVEREDGE PKWY, ATLANTA, GA 30328-4694
(770) 688-1000
Mailing address
6919 PEACHTREE DUNWOODY RD APT 522, ATLANTA, GA 30328-1739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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