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Individual

JAMES HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
136 MARSHS EDGE LN, SAINT SIMONS ISLAND, GA 31522-8898
(912) 291-2000
Mailing address
268 HIRES PL NE, LUDOWICI, GA 31316-5001

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP029321A
WA
225200000X
Physical Therapy Assistant
PTA003703
GA

Other

Enumeration date
09/26/2017
Last updated
02/29/2024
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