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1609564640
JESSICA BROOKE KNIGHT
MCDONOUGH, GA
NPI
1609564640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA0004709)
Enumeration Date
2023-04-27
Last Update Date
2023-04-27
Business Address
JESSICA BROOKE KNIGHT PTA
105 REGENCY PARK DR
MCDONOUGH, GA 30253-6649
Phone number: 404-843-3323
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Mailing Address
JESSICA BROOKE KNIGHT PTA
4041 HIGHWAY 155 N
STOCKBRIDGE, GA 30281-4013
Phone number: 678-544-9009
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