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1558649715
HEATHER SAMANTHA DAVIS
AUGUSTA, GA
NPI
1558649715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 001693)
Enumeration Date
2011-07-21
Last Update Date
2011-07-21
Business Address
-- HEATHER SAMANTHA DAVIS PTA
937 15TH ST
AUGUSTA, GA 30912-0008
Phone number: 706-721-7529
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Mailing Address
-- HEATHER SAMANTHA DAVIS PTA
937 15TH ST
AUGUSTA, GA 30912-0008
Phone number: 706-721-7529
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