Jason Thelen

NPI #1033693668 in Loganville, Georgia

Provider Information

NPI Number
1033693668
Entity Type
Individual
Name
Jason Thelen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Sep 19, 2018
Last Updated
Sep 19, 2018

Practice Location

Address
150 ATHENS HWY
State
Georgia
ZIP Code
30052-2277
Phone
(770) 554-2307

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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