Individual
JASMIN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10013 CORMAC ST, JONESBORO, GA 30238-6075
(404) 645-8283
Mailing address
10013 CORMAC ST, JONESBORO, GA 30238-6075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004495
GA
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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