Individual
SORAIA KUNIHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5610 NEW BERMUDA RD, STONE MOUNTAIN, GA 30087-4004
(678) 384-3872
Mailing address
POPLAR DR, LAWRENCEVILLE, GA 30044-4132
(678) 684-3872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002296
GA
Other
Enumeration date
01/28/2019
Last updated
02/08/2019
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