KATHRINE A DORTA

LAWRENCEVILLE, GA
NPI1700119849
Other NameKASIE DORTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT003005)
Enumeration Date2009-09-08
Last Update Date2009-09-08
Business Address
-- KATHRINE A DORTA Kathrine Dorta
3444 CLUB DR
LAWRENCEVILLE, GA 30044-2402
Phone number: 770-330-7975
Mailing Address
-- KATHRINE A DORTA Kathrine Dorta
106 DAVIS MILL CT
LAWRENCEVILLE, GA 30044-4635
Phone number: 770-330-7975