Individual
MS. TAMIKA MICHELLE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
703 LITTLE JOHN DR, HINESVILLE, GA 31313-6320
(912) 977-9397
Mailing address
2208 OLEANDER DR APT 5, WAYCROSS, GA 31501-6201
(912) 977-9397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
003365
GA
225200000X
Physical Therapy Assistant
Primary
24681
FL
225200000X
Physical Therapy Assistant
A6541
NC
Other
Enumeration date
07/28/2014
Last updated
11/27/2018
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