Individual
JUDY DYCOCO ANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1921 WHITTLESEY RD, COLUMBUS, GA 31904-3099
(706) 649-7990
(706) 649-7991
Mailing address
3102 INVERNESS PKWY, COLUMBUS, GA 31909-1919
(678) 899-9794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010142
GA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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