Individual
PRECIOUS TANKSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 ANTHONY RD, AUGUSTA, GA 30904-4824
(706) 738-3301
Mailing address
2182 GROVE LANDING WAY, GROVETOWN, GA 30813-7016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
GA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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