WILLIAM BOATWRIGHT

TUCKER, GA
NPI1588072706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002422)
Enumeration Date2014-07-31
Last Update Date2014-07-31
Business Address
-- WILLIAM BOATWRIGHT
2782 DOAKS RUN CT
TUCKER, GA 30084
Phone number: 912-856-8919
Mailing Address
-- WILLIAM BOATWRIGHT
2782 DOAKS RUN CT
TUCKER, GA 30084-2809
Phone number: 912-856-8919
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