Individual
MISS LATALVIA PARAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3056 ANVIL BLOCK RD STE 118, ELLENWOOD, GA 30294-2864
(404) 366-8100
Mailing address
7606 HILLTOP WAY, COLLEGE PARK, GA 30349-7960
(404) 375-7901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007375
GA
Other
Enumeration date
07/28/2008
Last updated
07/21/2022
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