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Individual

JALIYAH BRENDA JOSIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(470) 689-0245
Mailing address
5966 LAKESHORE DR SE, MABLETON, GA 30126-3621
(678) 490-6306

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT015385
GA

Other

Enumeration date
11/18/2022
Last updated
11/18/2022
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