Individual
KAREN WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7730 WALLACE TATUM RD, CUMMING, GA 30028-7917
(770) 402-5256
Mailing address
7730 WALLACE TATUM RD, CUMMING, GA 30028-7917
(770) 402-5256
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000998
GA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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