IVAN PATE

ALBANY, GA
NPI1790027381
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002360)
Enumeration Date2013-03-21
Last Update Date2013-03-21
Business Address
Mr. IVAN PATE PTA
2405 OSLER CT SUITE 200
ALBANY, GA 31707-0214
Phone number: 229-883-4009
Mailing Address
Mr. IVAN PATE PTA
156 WINDING WAY APT C
LEESBURG, GA 31763-5055
Phone number:
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