Individual
JESSICA MARIE LANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
, DPT
Contact information
Practice address
601 N BELAIR SQ STE 19, EVANS, GA 30809-4324
(706) 831-1128
(770) 230-0157
Mailing address
601 N BELAIR SQ STE 19, EVANS, GA 30809-4324
(706) 831-1128
(770) 230-0157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10268
SC
225100000X
Physical Therapist
Primary
PT014616
GA
Other
Enumeration date
06/19/2020
Last updated
05/23/2023
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