Individual
CONROY COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 ARROWHEAD BLVD, JONESBORO, GA 30236-1101
(770) 478-3013
Mailing address
103 SPIVEY RIDGE CIR, JONESBORO, GA 30236-4223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002332
GA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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