Individual
MRS. CHRISTY LYNNE ICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
205 E LAMAR ST, AMERICUS, GA 31709-3632
(229) 924-9595
(229) 924-9540
Mailing address
205 E LAMAR ST, AMERICUS, GA 31709-3632
(229) 924-9595
(229) 924-9540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001828
GA
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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