Individual
VICTORIA HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 S 6TH ST, COCHRAN, GA 31014-6626
(478) 934-7682
Mailing address
425 SYCAMORE DR, EASTMAN, GA 31023-3791
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A5311
NC
225200000X
Physical Therapy Assistant
Primary
PTA004084
GA
Other
Enumeration date
10/31/2018
Last updated
06/15/2020
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