Individual
BETTY J ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
565 OAK TRL, HAMPTON, GA 30228-2793
(229) 444-3665
Mailing address
565 OAK TRL, HAMPTON, GA 30228-2793
(229) 444-3665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
002748
GA
225700000X
Massage Therapist
Primary
MT009464
GA
Other
Enumeration date
03/01/2012
Last updated
05/01/2014
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