Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 27, 2012
License(s)
PTH8435 (AL), PT010570 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1025 E WEST CONNECTOR STE 406 | Austell, GA 30106-8531 | 770-740-8592 |
| MAILING | 6397 LEE HWY STE 300 | Chattanooga, TN 37421-2564 | 423-238-7217 |
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