KATHY MARTIN-WAGNER

LAWRENCEVILLE, GA
NPI1881024883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  pta000556)
Enumeration Date2013-11-13
Last Update Date2013-11-13
Business Address
-- KATHY MARTIN-WAGNER
2899 FIVE FORKS TRICKUM RD
LAWRENCEVILLE, GA 30044-5803
Phone number: 770-316-9507
Mailing Address
-- KATHY MARTIN-WAGNER
3460 HIGHLAND WAY
LOGANVILLE, GA 30052-3501
Phone number: 770-316-9507
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