Individual
IRENE ALDAY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2551
(770) 460-4747
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(678) 673-5134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012244
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT012244
LICENSE
GA
Enumeration date
11/03/2021
Last updated
11/03/2021
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