Individual
AMY KATHRYN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, MS
Contact information
Practice address
8480 ROSWELL RD, SANDY SPRINGS, GA 30350-2800
(678) 461-1000
Mailing address
3994 DUNBARTON WAY NE, ROSWELL, GA 30075-2002
(404) 358-4762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003395
GA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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