Individual
KENYATA B HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1157B WEST AVE SW, CONYERS, GA 30012-5280
(770) 922-2420
Mailing address
PO BOX 8068, COLUMBUS, GA 31908-8068
(706) 322-7762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016871
GA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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