Individual
STEPHANIE COWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 VALLEY DR, ELLIJAY, GA 30536-2410
(706) 889-2128
Mailing address
74 VALLEY DR, ELLIJAY, GA 30536-2410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000802
GA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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