Search › Georgia › 225100000X
Daniel Jack, PT
NPI 1083919278 · on the registry since 2011
Practice
- Address
- 1185 To Lani Dr
Stone Mountain, GA 30083 - Phone
- (404) 298-7708
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia