Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 23, 2007
License(s)
PT005526 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6849 PEACHTREE DUNWOODY RD NE BLDG. B1, STE.102 | Atlanta, GA 30328-1610 | |
| LOCATION | 11 UPPER RIVERDALE RD SW 6TH FLOOR | Riverdale, GA 30274-2615 | 770-897-7600 |
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