LETITIA WISE

CARROLLTON, GA
NPI1285153833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  001912)
Enumeration Date2017-09-14
Last Update Date2017-09-14
Business Address
LETITIA WISE PTA
2455 OAK GROVE CHURCH RD
CARROLLTON, GA 30117-9513
Phone number: 770-834-1737
Mailing Address
LETITIA WISE PTA
PO BOX 5034
KINGSHILL, VI 00851-5034
Phone number: 340-473-1688
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