Individual
KELSEY ANN NANCE-JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
875 FLAT SHOALS RD SE STE 150, CONYERS, GA 30094-6640
(770) 785-7669
Mailing address
750 WINTON WAY, ATLANTA, GA 30312-3818
(678) 773-4368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004961
GA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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