Individual
MISS GEORGIA TOULIATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 W POPLAR AVE, COLLIERVILLE, TN 38017-0601
(901) 861-8926
(901) 861-8925
Mailing address
8200 WESTBROOK RD., ARLINGTON, TN 38002
(901) 385-2457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000003765
TN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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