Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 3, 2024
License(s)
PT017438 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1995 N PARK PL SE STE 410 | Atlanta, GA 30339-2072 | 770-850-0390 |
| MAILING | 2383 AKERS MILL RD SE APT N16 | Atlanta, GA 30339-2528 | 630-800-9202 |
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