RALPH RICHARD HAUCK

WAYCROSS, GA
NPI1205122819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  A000841)
Enumeration Date2011-06-22
Last Update Date2011-06-22
Business Address
Mr. RALPH RICHARD HAUCK PTA
819 HOLLY ROSS LN
WAYCROSS, GA 31503-7767
Phone number: 770-500-2929
Mailing Address
Mr. RALPH RICHARD HAUCK PTA
819 HOLLY ROSS LN
WAYCROSS, GA 31503-7767
Phone number: 770-500-2929
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