LISA S DUCKWORTH

WARNER ROBINS, GA
NPI1205059870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  1494)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
-- LISA S DUCKWORTH PTA
3051 WATSON BLVD
WARNER ROBINS, GA 31093-8536
Phone number: 478-953-7556
Mailing Address
-- LISA S DUCKWORTH PTA
1060 JOHN E SULLIVAN RD
BYRON, GA 31008-5608
Phone number: 478-956-4205