Individual
MS. YOLANDA GWATHMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
415 AIRPORT RD, GRIFFIN, GA 30224-4834
(770) 227-8636
Mailing address
5965 MONTEREY DR, MORROW, GA 30260-1012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001928
GA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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