Individual
ANIYAH KEISHONA BRAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1332 S ZACK HINTON PKWY, MCDONOUGH, GA 30253-3354
(770) 898-5401
Mailing address
262 STONE RIDGE CIR, HIRAM, GA 30141-4591
(662) 400-0671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005131
GA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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