JOHN DEGENARO

ATHENS, GA
NPI1104900869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA000612)
Enumeration Date2006-10-25
Last Update Date2022-06-08
Business Address
JOHN DEGENARO PTA
1765 OLD WEST BROAD ST
ATHENS, GA 30606-2853
Phone number: 706-549-1663
Mailing Address
JOHN DEGENARO PTA
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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