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1861087017
COLBY WALKER
CUMMING, GA
NPI
1861087017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004195)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
Mr. COLBY WALKER PTA
125 SAMARITAN DR
CUMMING, GA 30040-2354
Phone number: 770-889-0120
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Mailing Address
Mr. COLBY WALKER PTA
2379 MISTY IVY CT
BUFORD, GA 30519-5497
Phone number: 239-850-8455
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