Jessica Mashaun Bivins, PT, DPT

NPI #1114472388 in Douglasville, Georgia

Provider Information

NPI Number: 1114472388
Entity Type: Individual
Name: Jessica Mashaun Bivins, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Aug 17, 2016
Last Updated: Aug 17, 2016

Practice Location

Address: 9390 THE LANDING DR
City: Douglasville
State: Georgia
ZIP Code: 30135-7180
Phone: (770) 850-1692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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