Individual
JILL NEVELLA NEWCOMB-CAMPANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4640 MARTIN RD, SUITE 300, CUMMING, GA 30041-5542
(678) 679-1261
(678) 679-1265
Mailing address
3515 ROSEWICKE DR, CUMMING, GA 30040-7194
(678) 756-1883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9538
MA
225100000X
Physical Therapist
Primary
PT008653
GA
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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