Jack, Lamont Joseph

Jack, Lamont Joseph is an individual health care provider with primary practice located at 3888 Lavista Rd , Tucker GA 30084-5142. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jack, Lamont Joseph can be contacted via phone (770) 938-5740.

Contact Information

Primary practice address
3888 Lavista Rd Tucker GA 30084-5142
Phone: (770) 938-5740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA002207 Georgia

Profile Details

NPI number 1154979193
LBN Legal business name Jack, Lamont Joseph
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2019
Last updated Sep 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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