Individual
ALTHEA TIGGS PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
201 LAKE VALLEY DR, LOGANVILLE, GA 30052-7883
(678) 957-6897
Mailing address
201 LAKE VALLEY DR, LOGANVILLE, GA 30052-7883
(678) 957-6897
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT003851
GA
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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