Individual
GENEVA GRACE AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
590 HISTORICAL HIGHWAY 441, STE. E, DEMOREST, GA 30535-4561
(706) 754-6611
(706) 754-5834
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002482
GA
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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