Individual
ANDREA LORRAINE HAYDEN-GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1506 CALEB WAY, HEPHZIBAH, GA 30815-6975
(706) 834-7330
Mailing address
1506 CALEB WAY, HEPHZIBAH, GA 30815-6975
(706) 834-7330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002476
GA
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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