MARK ANDREW MAXWELL

ATHENS, GA
NPI1518027853
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA001859)
Enumeration Date2006-12-09
Last Update Date2007-07-08
Business Address
-- MARK ANDREW MAXWELL PTA
1500 OGLETHORPE AVE BLDG 500
ATHENS, GA 30606-2179
Phone number: 706-549-9244
Mailing Address
-- MARK ANDREW MAXWELL PTA
PO BOX 6890
EVANSVILLE, IN 47719-0890
Phone number:
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