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JENNIFER KNIGHT BIRD PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1720515141

Individual Registrant:
 JENNIFER KNIGHT BIRD PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2403 BATTLEFIELD PKWY  FORT OGLETHORPE, GA 30742-4033 US
Tel: (70-6) -866-7700  Fax: --

Contact information for business:
2403 BATTLEFIELD PKWY  FORT OGLETHORPE, GA 30742-4033 US
Tel: 706-866-7700  Fax: --

Registration Information:
NPI: 1720515141
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
GAPTA000761

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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