Individual
KAYLEY HARRELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
277 COMMERCE ST, HAWKINSVILLE, GA 31036-8415
(478) 892-9171
Mailing address
277 COMMERCE ST, HAWKINSVILLE, GA 31036-8415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003755
GA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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