Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 19, 2013
License(s)
PT003948 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1115 HAMPSTEAD PL | Martinez, GA 30907-6203 | 706-364-5533 |
| MAILING | 1115 HAMPSTEAD PL | Martinez, GA 30907-6203 | 706-364-5533 |
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