Individual
AMY G ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
908 PAVILION CT, MCDONOUGH, GA 30253-6665
(678) 432-4621
(678) 583-1274
Mailing address
908 PAVILION CT, MCDONOUGH, GA 30253-6665
(678) 432-4621
(678) 583-1274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001871
GA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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