GREGORY C IZENOUR

SMYRNA, GA
NPI1174268171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA004519)
Enumeration Date2022-05-03
Last Update Date2022-05-03
Business Address
GREGORY C IZENOUR PTA
1483 SPRINGLEAF CIR SE
SMYRNA, GA 30080-2403
Phone number: 404-510-2927
Mailing Address
GREGORY C IZENOUR PTA
1483 SPRINGLEAF CIR SE
SMYRNA, GA 30080-2403
Phone number:
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