Individual
KATHY PAESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 ARGONNE TER, CANTON, GA 30115-1879
(678) 880-9597
Mailing address
505 ERNEST CT, CANTON, GA 30115-1109
(330) 416-0897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002799
GA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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