Individual
DR. KEVIN SCOTT SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
400 TOWN PARK BLVD STE 100, EVANS, GA 30809-3515
(706) 854-9850
Mailing address
309 NESBITT RD, LEESBURG, GA 31763-3542
(229) 291-3500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014932
GA
Other
Enumeration date
09/04/2020
Last updated
10/12/2020
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