Individual
RENATA MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
340 PINE FOREST DR, ATHENS, GA 30606-2438
(404) 895-3377
Mailing address
340 PINE FOREST DR, ATHENS, GA 30606-2438
(404) 895-3377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003134
GA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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