SOPHIA ANTONIA BLUE

AUSTELL, GA
NPI1124502679
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  001390)
Enumeration Date2018-09-20
Last Update Date2018-09-20
Business Address
Miss SOPHIA ANTONIA BLUE LPTA
2130 ANDERSON MILL RD
AUSTELL, GA 30106-1806
Phone number: 770-941-8813
Mailing Address
Miss SOPHIA ANTONIA BLUE LPTA
4291 W LINDA DR
DOUGLASVILLE, GA 30134-2617
Phone number: 678-576-9652
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