Individual
EMMA ABIGAIL TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 PRESTON ST, WAYCROSS, GA 31501-5248
(912) 283-7342
(912) 283-7402
Mailing address
401 PRESTON ST, WAYCROSS, GA 31501-5248
(912) 283-7342
(912) 283-7402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004874
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA004874
PHYSICAL THERAPIST ASSISTANT
GA
Enumeration date
07/27/2022
Last updated
07/27/2022
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