Individual
KATHLEEN GILDEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2576 LAWRENCEVILLE SUWANEE RD STE 101, SUWANEE, GA 30024-7291
(770) 962-4043
(770) 962-4045
Mailing address
2500 SUWANEE LAKES TRL, SUWANEE, GA 30024-3161
(678) 377-8210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001312
GA
Other
Enumeration date
12/12/2008
Last updated
12/17/2008
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