DANIEL L JACK

STONE MOUNTAIN, GA
NPI1083919278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT009595)
Enumeration Date2011-01-19
Last Update Date2011-01-19
Business Address
-- DANIEL L JACK PT
1185 TO LANI DR
STONE MOUNTAIN, GA 30083-5361
Phone number: 404-298-7708
Mailing Address
-- DANIEL L JACK PT
1185 TO LANI DR
STONE MOUNTAIN, GA 30083-5361
Phone number: 404-298-7708
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