Individual
MR. TREVOR J HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
4914 FIELDPOINTE WAY, STONE MOUNTAIN, GA 30088-3938
(404) 551-3369
Mailing address
4914 FIELDPOINTE WAY, STONE MOUNTAIN, GA 30088-3938
(404) 551-3369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002169
GA
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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