Individual
CLAUDIA ANNE VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2540 CONWAY VICKERS RD, AMBROSE, GA 31512-3731
(912) 381-0738
(912) 384-1053
Mailing address
2540 CONWAY VICKERS RD, AMBROSE, GA 31512-3731
(912) 381-0738
(912) 384-1053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001513
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00331482B
—
GA
Enumeration date
04/02/2007
Last updated
07/09/2007
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