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JILL AMANDA DERUMS P.T., D.P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1417277989

Individual Registrant:
 JILL AMANDA DERUMS P.T., D.P.T.
Gender: F
Sole Proprietor

Location and contact information for practice:
217 K STREET  PINE MOUNTAIN VALLEY, GA 31823-0141 US
Tel: 706-457-9542  Fax: --

Contact information for business:
PO BOX 141  PINE MOUNTAIN VALLEY, GA 31823-0141 US
Tel: 706-457-9542  Fax: --

Registration Information:
NPI: 1417277989
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
GA006875

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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