Individual
KYRE LOCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 GEORGIA 54, SUITE 404, FAYETTEVILLE, GA 30214
(470) 615-0485
Mailing address
2057 SWAN CT, RIVERDALE, GA 30296-2853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004586
GA
Other
Enumeration date
01/14/2021
Last updated
01/15/2021
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