Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 31, 2007
License(s)
PT7913 (TN), PT010170 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6397 LEE HWY STE 300 | Chattanooga, TN 37421-4915 | 423-238-7217 |
| LOCATION | 508 E MORRIS ST | Dalton, GA 30721-3403 | 423-238-7217 |
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