LUKE ROBERT MAULDIN

BRASELTON, GA
NPI1760905988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003863)
Enumeration Date2017-07-19
Last Update Date2019-06-11
Business Address
LUKE ROBERT MAULDIN PTA
1241 FRIENDSHIP RD STE 120
BRASELTON, GA 30517-5609
Phone number: 770-415-9792
Mailing Address
LUKE ROBERT MAULDIN PTA
PO BOX 5545
AUGUSTA, GA 30916-5545
Phone number: 803-441-0025
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