Individual
CHELSEA J CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 OSBORNE RD, STATHAM, GA 30666-3310
(678) 591-9649
Mailing address
1428 OSBORNE RD, STATHAM, GA 30666-3310
(678) 591-9649
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005238
GA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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