WALTER ERNEST VANHEININGEN

THOMASVILLE, GA
NPI1982169298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA004191)
Enumeration Date2019-01-31
Last Update Date2019-01-31
Business Address
Mr. WALTER ERNEST VANHEININGEN PTA
511 GORDON AVE
THOMASVILLE, GA 31792-6645
Phone number: 229-228-9019
Mailing Address
Mr. WALTER ERNEST VANHEININGEN PTA
511 GORDON AVE
THOMASVILLE, GA 31792-6645
Phone number: 229-228-9019
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