MILES S ALLEN

MACON, GA
NPI1073861480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002896)
Enumeration Date2012-08-16
Last Update Date2012-08-16
Business Address
-- MILES S ALLEN PTA
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
Mailing Address
-- MILES S ALLEN PTA
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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