Individual
TRACY SUE IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3126 CEDARTOWN HWY SW, ROME, GA 30161-3773
(706) 295-0014
Mailing address
49 TIMBERLAKE CV NE, CARTERSVILLE, GA 30121-5289
(404) 324-7534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001976
CT
225200000X
Physical Therapy Assistant
Primary
1976
CT
Other
Enumeration date
11/23/2022
Last updated
11/08/2023
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