JASON THELEN

LOGANVILLE, GA
NPI1033693668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2018-09-19
Last Update Date2018-09-19
Business Address
JASON THELEN
150 ATHENS HWY
LOGANVILLE, GA 30052-2277
Phone number: 770-554-2307
Mailing Address
JASON THELEN
150 ATHENS HWY
LOGANVILLE, GA 30052-2277
Phone number: