Individual
MR. KEVIN HARBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 SHORTER AVE NW, SUITE 101, ROME, GA 30165-4290
(706) 509-3400
Mailing address
9015 SUMIT WOOD DR NW, KENNESAW, GA 30152-3362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002019
GA
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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