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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAMONT JOSEPH JACK, PTA

Active

LAMONT JOSEPH JACK, PTA is a Occupational Therapist healthcare provider located in TUCKER, Georgia. NPI 1154979193 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · TUCKER, GA

Registration Details

NPI Number
1154979193
Provider Type
Individual
Gender
Male
NPI Issued
Sep 3, 2019 (6.9039326297735 yrs)
Last Updated
Sep 3, 2019
License
PTA002207 (GA)

Practice Information

Address
3888 LAVISTA RD
TUCKER, GA, 300845142
Browse GA providers · Browse ZIP 30084
Phone
7709385740
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in TUCKER, GA

Name Credential NPI
MS. MARILYN BETHUNE BARNETT LPTA 1033249347
GREGORY ALAN LEWIS PTA 1144471749
DELIA EUBANKS BIERNATH PTA 1417234733
WILLIAM BOATWRIGHT 1588072706
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.