Individual
CATHERINE HANKS SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4039 GATEWAY BLVD STE 102, GROVETOWN, GA 30813-3390
(706) 210-9534
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11974
SC
225100000X
Physical Therapist
Primary
CP039179
GA
Other
Enumeration date
02/22/2024
Last updated
01/02/2025
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