Individual
KARLETTA HEATHER MAY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
209 N MADISON RD, ORANGE, VA 22960
(540) 672-2708
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP014759T
VA
225100000X
Physical Therapist
PT012572
GA
225100000X
Physical Therapist
PTH8775
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052129844
GA DRIVER'S LICENSE
GA
Enumeration date
06/18/2018
Last updated
09/02/2022
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