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1184820797
ALTHEA TIGGS PENN
LOGANVILLE, GA
NPI
1184820797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: GA PT003851)
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
-- ALTHEA TIGGS PENN BSPT
201 LAKE VALLEY DR
LOGANVILLE, GA 30052-7883
Phone number: 678-957-6897
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Mailing Address
-- ALTHEA TIGGS PENN BSPT
201 LAKE VALLEY DR
LOGANVILLE, GA 30052-7883
Phone number: 678-957-6897
Copy
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