Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 7, 2008
License(s)
PT007316 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4798 FOREST WAY CT NE | Marietta, GA 30066-1488 | 770-361-1772 |
| LOCATION | 1551 JOHNSON FERRY RD | Marietta, GA 30062-6438 | 770-361-1772 |
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