STEFAN ALEXANDER JEROME

JONESBORO, GA
NPI1255004552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA004704)
Enumeration Date2021-08-01
Last Update Date2021-08-02
Business Address
STEFAN ALEXANDER JEROME PTA
335 UPPER RIVERDALE RD STE B10
JONESBORO, GA 30236-1071
Phone number: 770-907-5743
Mailing Address
STEFAN ALEXANDER JEROME PTA
335 UPPER RIVERDALE RD STE B10
JONESBORO, GA 30236-1071
Phone number: 770-907-5743
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