NPI age
19 years
Enumerated 2006-08-16
Across 58 active legal medicine providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | PT008742 | PHYSICAL THERAPY LICENSE |
| 01 (NV) | 1932 | PHYSICAL THERAPY LICENSE |
| 01 (CA) | PT279940 | PHYSICAL THERAPY LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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