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Individual

KATIE ALEXANDRA RAISOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6361 TALOKAS LN STE C170, COLUMBUS, GA 31909-5648
(706) 569-6250
(706) 569-6335
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011670
GA
225100000X
Physical Therapist
PTH9964
AL

Other

Enumeration date
08/19/2014
Last updated
08/24/2020
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