KIM MICHELE WYRWA

DACULA, GA
NPI1023213857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  001703)
Enumeration Date2007-06-20
Last Update Date2007-07-08
Business Address
-- KIM MICHELE WYRWA PTA
3615 BRASELTON HWY STE. 101
DACULA, GA 30019-5906
Phone number: 770-904-0772
Mailing Address
-- KIM MICHELE WYRWA PTA
2035 WISTERIA CT
LAWRENCEVILLE, GA 30044-2891
Phone number: 770-962-2632
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