Individual
KATHY ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MANAS CT, COVINGTON, GA 30016-1100
(678) 521-2262
Mailing address
35 MANAS CT, COVINGTON, GA 30016-1100
(678) 521-2262
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO58220
GA
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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