Individual
MRS. JODY WHITE BAXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT, MHSA
Contact information
Practice address
2910 MOUNTAIN TRCE NE, ROSWELL, GA 30075-4027
(770) 650-8157
Mailing address
2910 MOUNTAIN TRCE NE, ROSWELL, GA 30075-4027
(770) 650-8157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009487
GA
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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