Individual
KELLI TOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4204 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 280-9205
(912) 280-0022
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
PTA001920
GA
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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