Daniel L Jack JR., PT
NPI #1083919278 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1083919278
- Entity Type
- Individual
- Name
- Daniel L Jack JR., PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jan 19, 2011
- Last Updated
- Jan 19, 2011
Practice Location
- Address
- 1185 TO LANI DR
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-5361
- Phone
- (404) 298-7708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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