Individual
RACHEL GARABEDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
55 E PAULDING DR STE 102, DALLAS, GA 30157-7192
(470) 648-2038
Mailing address
4465 SHILOH CT NW, KENNESAW, GA 30144-1526
(770) 331-2391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTA004626
GA
225200000X
Physical Therapy Assistant
Primary
PTA004626
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA004626
PTA LICENSE
GA
Enumeration date
04/05/2021
Last updated
05/14/2021
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