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1851741128
KATHERINE GLENN
DEMOREST, GA
NPI
1851741128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002175)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
KATHERINE GLENN PTA
541 US-441 BUS
DEMOREST, GA 30535
Phone number: 706-754-0029
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Mailing Address
KATHERINE GLENN PTA
541 US-441 BUS
DEMOREST, GA 30535
Phone number: 706-754-0029
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