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John Talley

Physical Therapist in Stockbridge, GA. Individual provider (NPI-1).

NPI number1982246948
StatusActive
Last updated in NPPESOct 11, 2019

Details

NPI
1982246948
Entity type
Individual (NPI-1)
Name
John Talley
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2019
Last updated
Oct 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT001591GAYes

Practice location

1060 Eagles Landing Pkwy Ste 130
Stockbridge, GA 30281-9091

Phone 470-369-5770 · Fax 470-369-5771

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Phone 586-350-2644

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