Individual
PETER HEUSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
850 KING AVE, ATHENS, GA 30606-2838
(706) 549-1663
(706) 546-8792
Mailing address
1061 GINGER LN, WATKINSVILLE, GA 30677-4964
(706) 248-4373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002997
GA
Other
Enumeration date
03/01/2016
Last updated
02/23/2021
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