MATTHEW LEVI HEROD

ROME, GA
NPI1093175465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003589)
Enumeration Date2016-02-29
Last Update Date2016-02-29
Business Address
-- MATTHEW LEVI HEROD PTA
1711 MARTHA BERRY BLVD NW
ROME, GA 30165-1623
Phone number: 706-528-4207
Mailing Address
-- MATTHEW LEVI HEROD PTA
1711 MARTHA BERRY BLVD NW
ROME, GA 30165-1623
Phone number: 706-528-4207
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