Individual
TATIANA SMITH FORESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 ABBINGTON LN, DOUGLASVILLE, GA 30134-6357
(404) 345-9127
Mailing address
618 ABBINGTON LN, DOUGLASVILLE, GA 30134-6357
(404) 345-9127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
GA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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