Individual
KATHYE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
500 WASHINGTON ST. SE, BRENAU UNIVERSITY PHYSICAL THERAPY DEPARTMENT, GAINESVILLE, GA 30501
(352) 359-8311
Mailing address
6557 SUNSET DR, CLERMONT, GA 30527-1351
(352) 359-8311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011504
GA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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