Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 31, 2015
License(s)
PT011771 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 8823 PRODUCTION LN | Ooltewah, TN 37363-6511 | 423-238-7217 |
| LOCATION | 3450 COBB PKWY NW STE 220 | Acworth, GA 30101-8351 | 770-974-1978 |
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