Individual
BELINDA LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 COWAN RD SE, CONYERS, GA 30094-4105
(770) 922-3601
Mailing address
285 COWAN RD SE, CONYERS, GA 30094-4105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000868
GA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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