Individual
MRS. AMANDA KELLIE MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
127 E WASHINGTON ST, THOMASVILLE, GA 31792-5148
(229) 226-4114
(229) 226-6480
Mailing address
PO BOX 1681, THOMASVILLE, GA 31799-1681
(229) 226-4114
(229) 226-6480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002540
GA
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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