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1336746379
COLTON KENNETH HEAD
DOUGLASVILLE, GA
NPI
1336746379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014859)
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
COLTON KENNETH HEAD PT, DPT
2750 CHAPEL HILL RD STE 1200
DOUGLASVILLE, GA 30135-1721
Phone number: 678-981-6290
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Mailing Address
COLTON KENNETH HEAD PT, DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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