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Individual

MRS. MONICA KAY RANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3820 LYLES WAY, CUMMING, GA 30041-9297
(404) 375-7977
Mailing address
3820 LYLES WAY, CUMMING, GA 30041-9297
(404) 375-7977

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
003823
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00793823A
GA
05
00793823B
GA
Enumeration date
11/09/2006
Last updated
07/08/2007
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