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1205059870
LISA S DUCKWORTH
WARNER ROBINS, GA
NPI
1205059870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 1494)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
-- LISA S DUCKWORTH PTA
3051 WATSON BLVD
WARNER ROBINS, GA 31093-8536
Phone number: 478-953-7556
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Mailing Address
-- LISA S DUCKWORTH PTA
1060 JOHN E SULLIVAN RD
BYRON, GA 31008-5608
Phone number: 478-956-4205
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