Individual
FATIMA ASPIRAS BAWAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
150 PINE TOPS PLACE, ATHENS, GA 30606
(706) 201-2027
Mailing address
150 PINE TOPS PLACE, ATHENS, GA 30606
(706) 201-2027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002066
GA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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