Individual
AMY BETH HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
5775 OLD WINDER HWY, BRASELTON, GA 30517-1603
(678) 866-4104
Mailing address
50 WOOD DUCK PT, JEFFERSON, GA 30549-5434
(706) 255-0791
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001874
GA
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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