Individual
MS. BILLIE JOELLE AGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CPT
Contact information
Practice address
4 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 723-1456
Mailing address
1450 CORINTH POSEYVILLE RD, BREMEN, GA 30110-3118
(770) 312-5327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2156
CT
225200000X
Physical Therapy Assistant
Primary
PTA004521
GA
Other
Enumeration date
03/09/2021
Last updated
03/19/2021
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