Jaclyn Burks
Physical Therapist in Sandy Springs, GA. Individual provider (NPI-1).
NPI number1184148371
StatusActive
Last updated in NPPESJul 28, 2017
Details
- NPI
- 1184148371
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jaclyn Burks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2017
- Last updated
- Jul 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT012554 | GA | Yes |
Practice location
8592 Roswell RdSandy Springs, GA 30350-1865
Phone 770-552-3000
Mailing address
4050 Azurite StCumming, GA 30040-0481
Phone 239-405-1514
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