Individual
MRS. JULIE A. TOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
102 GILLEY RD, HORTENSE, GA 31543-9061
(912) 258-2117
Mailing address
102 GILLEY ROAD, HORTENSE, GA 31543-0949
(912) 258-2117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002384
GA
Other
Enumeration date
12/30/2008
Last updated
01/21/2011
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