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Individual

ALLYA MACDONALD MAERZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
755 EPPS BRIDGE PKWY, ATHENS, GA 30606-6987
(706) 995-7177
Mailing address
115 CRESTVIEW CIR, ATHENS, GA 30606-2707

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003519
GA

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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