STEVEN BROADWAY

LOGANVILLE, GA
NPI1245905710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA001660)
Enumeration Date2021-08-16
Last Update Date2022-06-08
Business Address
STEVEN BROADWAY PTA
3440 HIGHWAY 81
LOGANVILLE, GA 30052-9112
Phone number: 770-554-5009
Mailing Address
STEVEN BROADWAY PTA
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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