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1093297681
MATTHEW RYAN GRITZKE
WAYCROSS, GA
NPI
1093297681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003905)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
MATTHEW RYAN GRITZKE PTA
2267 MEMORIAL DR STE 300
WAYCROSS, GA 31501-0902
Phone number: 912-285-1927
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Mailing Address
MATTHEW RYAN GRITZKE PTA
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-7217
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