Individual
CATHY L MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 TIPTON DR, DAHLONEGA, GA 30533-1604
(706) 864-0755
(706) 864-0987
Mailing address
70 ANSLEY DR, DAHLONEGA, GA 30533-1613
(706) 864-0755
(706) 864-0987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001578
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454066516A
—
GA
01
—
511I650304
MEDICARE PTAN
GA
Enumeration date
06/20/2006
Last updated
03/27/2009
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