Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 3, 2020
License(s)
PT014652 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1200 CORPORATE DR STE 400 | Birmingham, AL 35242-5424 | 423-238-7217 |
| LOCATION | 11490 ALPHARETTA HWY STE 200 | Roswell, GA 30076-3866 | 770-740-8592 |
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