Organization
BIRDS OF PARADISE HOME WELLNESS AND PHYSICAL THERAPY SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYA REEVES (OWNER/PTA)
(678) 651-4902
Entity
Organization
Contact information
Practice address
1550 S HAIRSTON RD, STONE MOUNTAIN, GA 30088-3535
(678) 651-4902
Mailing address
754 POST ROAD LN, STONE MOUNTAIN, GA 30088-2246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003477
GA
Other
Enumeration date
07/29/2018
Last updated
02/18/2019
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