SONEA MARIA RUSSELL

FLOWERY BRANCH, GA
NPI1679793038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  001984)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Mrs. SONEA MARIA RUSSELL PTA
WILLOWOOD NURSING CENTER 4595 CANTRELL ROAD
FLOWERY BRANCH, GA 30542
Phone number: 770-965-1484
Mailing Address
Mrs. SONEA MARIA RUSSELL PTA
1659 DOC MCLOCKLIN RD
STATHAM, GA 30666-2521
Phone number: 770-725-0659