Individual
DESIREE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 OLD 441 N, CLAYTON, GA 30525-3019
(706) 782-2585
Mailing address
PO BOX 1794, CLAYTON, GA 30525-0045
(850) 830-3129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003336
GA
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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