Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 19, 2011
License(s)
PT010270 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 211 SHADOWOOD LN | Peachtree City, GA 30269-2256 | |
| LOCATION | 211 SHADOWOOD LN | Peachtree City, GA 30269-2256 | 770-833-9042 |
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