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1164063855
LAURA AINLEY
WOODSTOCK, GA
NPI
1164063855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003157)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
LAURA AINLEY PTA
4580 TOWNE LAKE PKWY
WOODSTOCK, GA 30189-5521
Phone number: 770-592-2195
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Mailing Address
LAURA AINLEY PTA
151 EAGLE GLEN DR
WOODSTOCK, GA 30189-6932
Phone number: 470-265-7175
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