Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 2, 2014
License(s)
PT009042 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3155 PRESERVATION CIR | Lilburn, GA 30047-2069 | 404-538-7327 |
| MAILING | 3155 PRESERVATION CIR | Lilburn, GA 30047-2069 | 404-538-7327 |
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