Individual
MRS. SONYA MELEIA KOSHUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11638 HIGHWAY 27 STE 1, SUMMERVILLE, GA 30747-8515
(706) 857-6366
(706) 857-6372
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 802-1991
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001938
GA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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