Individual
AMY TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6884 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3229
(770) 704-8244
(770) 704-8264
Mailing address
6884 HICKORY FLAT HWY, WOODSTOCK, GA 30188-3229
(770) 704-8244
(770) 704-8264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013844
GA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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