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1700968138
KATHLEEN M FORDE
LAWRENCEVILLE, GA
NPI
1700968138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 3050)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- KATHLEEN M FORDE PT
575 PROFESSIONAL DR STE 160
LAWRENCEVILLE, GA 30045-3347
Phone number: 770-995-9746
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Mailing Address
-- KATHLEEN M FORDE PT
4870 TWIN LAKES TRL
ATLANTA, GA 30360-1727
Phone number: 678-662-0565
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