Individual
MAURA WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1230 JOHNSON FERRY PL, MARIETTA, GA 30068-2048
(770) 321-6705
Mailing address
9470 HILLSIDE DR, ROSWELL, GA 30076-2824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010839
GA
2251P0200X
Pediatric Physical Therapist
070017994
IL
Other
Enumeration date
08/18/2010
Last updated
07/11/2016
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