Individual
MISS KISHA ENA PADA PAGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTRP, PT, DPT
Contact information
Practice address
2065 GRAYSON HWY STE B, GRAYSON, GA 30017-1766
(678) 367-0213
(678) 376-0213
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 497-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016529
GA
Other
Enumeration date
12/01/2022
Last updated
01/28/2025
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