Jennifer Blair Mcmichael, DPT

NPI #1871803577 in Dacula, Georgia

Provider Information

NPI Number: 1871803577
Entity Type: Individual
Name: Jennifer Blair Mcmichael, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 15, 2010
Last Updated: Oct 15, 2010

Practice Location

Address: 2089 TERON TRACE
Address 2: SUITE 120
City: Dacula
State: Georgia
ZIP Code: 30019
Phone: (770) 904-6009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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