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1669717138
TONYA MICHELLE PRUITT
LAWRENCEVILLE, GA
NPI
1669717138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002287)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
-- TONYA MICHELLE PRUITT PTA
3100 CLUB DR
LAWRENCEVILLE, GA 30044-2591
Phone number: 770-923-3100
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Mailing Address
-- TONYA MICHELLE PRUITT PTA
219 EVANS DR
DANIELSVILLE, GA 30633-4944
Phone number: 706-988-1970
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