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Individual
MS. ROBERTA JEAN TINNIN
Active
Individual
MS. ROBERTA JEAN TINNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA 005219
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000766576E
—
GA
01
—
113728801
PT MATTERS, INC.
GA
Enumeration date
12/15/2006
Last updated
09/03/2013
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