Individual
YAVONKA MARINA ONWUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5370 CAMPBELLTON FAIRBURN RD STE 530, FAIRBURN, GA 30213
(678) 666-4146
(678) 666-4148
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
007777
NY
225200000X
Physical Therapy Assistant
Primary
PTA003091
GA
Other
Enumeration date
07/10/2012
Last updated
03/11/2019
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