LANE DIANNE THAXTON

MCDONOUGH, GA
NPI1760288005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA12142)
Enumeration Date2025-02-19
Last Update Date2025-02-19
Business Address
LANE DIANNE THAXTON PTA
234 JONESBORO RD
MCDONOUGH, GA 30253-3720
Phone number: 770-954-9631
Mailing Address
LANE DIANNE THAXTON PTA
2487 BIRDIE RD
GRIFFIN, GA 30223-6317
Phone number: 706-604-2906
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