Jason Thelen Valid NPI
Individual provider · Physical Therapist · Loganville, GA
- NPI
- 1033693668
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-09-19
- Last updated
- 2018-09-19
Practice location
150 Athens Hwy
Loganville, GA 30052-2277
(770) 554-2307